Authorization to Embalm Title TitleMRSMISSMSOR Name Email Address Date: Name of person making authorization Relationship I hereby give AUTHORIZATION to EMBALM I hereby give AUTHORIZATION to EMBALM Yes No The remains of: Submit Baton Rouge 225-778-1612 Port Allen 225-778-1612 Plaquemine225-778-1612 © Hall Davis and Son Funeral Service | site by: ustng.com | ObitLOGIN