Sneider & Sullivan & O'Connell's Funeral Home AUTHORIZATION TO

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Sneider & Sullivan & O’Connell’s Funeral Home 977 So. El Camino Real San Mateo California 94402 Telephone 650-343-1804 Fax 650-343-3511

AUTHORIZATION TO RELEASE REMAINS Date: _________________________

To: _________________________________________________

Please release the remains and any personal effects of the late _________________________________________________ (Name of Decedent)

to SNEIDER & SULLIVAN & O’CONNELL’S Funeral Home or their agent for preparation as instructed by the undersigned.

Signature: ____________________________________________________ Relationship to Decedent _________________________________________________

Address, City, ST, Zip: __________________________________________________

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