wm. f. spencer funeral service
6
� WM. F. SPENCER FUNERAL SERVICE 575 E. Broadway• S,;:mth Boston, Massachusetts 02174 • TelephOoe 617-268-0855 Boston\ Oldest Family in Funeral Se111ice
..
--·-·- · · ··-- · - · ··
.
- - ----- - .. ,, .. ________ __ _____ .. . ,
,
' • I I - • r • - • V ' • • • - • • - • • • ' � • • • • • • r. ' • L - • • •
DATE
• •
• • •
ihe undersigned hereby authori�: the ilts assigns or agents, to can-y out m:y request to remove, transport, embalm and prepare ·the body of the late ............................................................................................ . Having full power and authi)rity to grant this authorization, I hereby agree to hi;,ld the IN c., it.s assigns or agents, harmless and t.o indemnify them from any and ail cw.ms, demands or damages which may be made or declared :against said finn oi:· its assigns or agents, by reason of removal, preparation, embalming and transportation of said body. • o o • • , 0 0 • 0 • • L O ,> o O ..... 0 0 0. I O ' I • < • • I t '1 • I I , • •
' • • • • • I • 4 .. • 1 • • • • • • • • 1 • • • • • • • • • • • • • -• ' ' •
(Next of Kin) • • • • •
• • ' • • • • • • • • • • • ' • • • • ' • • • ' • • • • • • • • • • • � • • ' • • • ,. r • • • • • � • � " �
� WM. F. SPENCER FUNERAL SERVICE 575 E. Broadway• S,;:mth Boston, Massachusetts 02174 • TelephOoe 617-268-0855 Boston\ Oldest Family in Funeral Se111ice
..
--·-·- · · ··-- · - · ··
.
- - ----- - .. ,, .. ________ __ _____ .. . ,
,
' • I I - • r • - • V ' • • • - • • - • • • ' � • • • • • • r. ' • L - • • •
DATE
• •
• • •
ihe undersigned hereby authori�: the ilts assigns or agents, to can-y out m:y request to remove, transport, embalm and prepare ·the body of the late ............................................................................................ . Having full power and authi)rity to grant this authorization, I hereby agree to hi;,ld the IN c., it.s assigns or agents, harmless and t.o indemnify them from any and ail cw.ms, demands or damages which may be made or declared :against said finn oi:· its assigns or agents, by reason of removal, preparation, embalming and transportation of said body. • o o • • , 0 0 • 0 • • L O ,> o O ..... 0 0 0. I O ' I • < • • I t '1 • I I , • •
' • • • • • I • 4 .. • 1 • • • • • • • • 1 • • • • • • • • • • • • • -• ' ' •
(Next of Kin) • • • • •
• • ' • • • • • • • • • • • ' • • • • ' • • • ' • • • • • • • • • • • � • • ' • • • ,. r • • • • • � • � " �
