Checklist gb7ae60020 1920

MEDICAL CAUSE OF DEATH CHECKLIST

ALL INFORMATION MUST BE CORRECTLY STATED, CLEARY WRITTEN & REVIEWED FOR ACCURACY
 
  • Full Name of Deceased (as shown on his/her ID Card)
  • Exact Address of Deceased
  • Gender (Male or Female)
  • Age & Date of Death
  • Doctor's Signature
  • Stamped
  • Date Issued

Caskets, Coffins & More...

Please visit our showroom for a direct view at the various Trays / Coffins and Customized Units.
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Cremation Trays & Coffins - Upholstered & Polished