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AUTHORIZATION FOR CREMATION & DISPOSITION

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2210 Broadway, Lubbock 1821 Main Street, Tahoka 510 8th Street, O'Donnell 806-749-4483 806-561-4433 806-428-3313. AUTHORIZATION FOR CREMATION & DISPOSITION . I, the undersigned certify, warrant and represent that I have the full legal right and authority to authorize the CREMATION , processing and DISPOSITION of the remains for _________________________________ hereinafter referred to as the deceased. The deceased died at ______ am/pm on the ______ day of ___________ 20____. I hereby request and authorize Combest Family Funeral Homes and Crematory of Lubbock, Tahoka and/or O'Donnell to take possession of and make arrangements for _______________________________ (deceased).

2210 Broadway, Lubbock 1821 Main Street, Tahoka 510 8th Street, O'Donnell 806-749-4483 -561 4433 428 3313 AUTHORIZATION FOR CREMATION & DISPOSITION

  Authorization, Disposition, Cremations, Authorization for cremation amp disposition

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