6510 Cherry Ave, Long Beach, CA 90805 | affordableburial@aol.com
 
 
 
 
Affordable Burial & Cremation Service Inc
 
LIC#FDR1602
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Funeral Forms in Long Beach, California

 
ORDER FOR RELEASE OF HUMAN REMAINS
PLEASE RELEASE THE REMAINS AND ALL PERSONAL EFFECTS OF THE ABOVE NAMED DECEDENT TO THE FOLLOWING LICENSED FUNERAL ESTABLISHMENT: AFFORDABLE BURIAL & CREMATION SERVICE, INC. FD1602 LOCATED AT 6510 CHERRY AVE., LONG BEACH, CA 90805 | PHONE (562) 428-9772 | FAX (562) 428-3930 INCLUDING ITS AGENTS. THE UNDERSIGNED REPRESENTS THAT HE/SHE HAS THE LEGAL RIGHT TO SELECT THE ABOVE NAMED FUNDERAL DIRECTOR PURSUANT TO SECTION 7100 OF THE CALIFORNIA HEALTH & SAFETY CODE.
 
 
 
AUTHORIZATION FOR DISPOSITION WITH OR WITHOUT EMBALMING
TO: AFFORDABLE BURIAL & CREMATION SERVICE INC. FD1602
(FUNERAL ESTABLISHMENT)
I understand that for storage or embalming purposes the decedent may be transported to the following licensed funeral establishment: AFFORDABLE BURIAL & CREMATION SERVICES INC., 6510 CHERRY AVE., LONG BEACH, CA 90805 (NAME AND ADDRESS OF FUNDERAL ESTABLISHMENT) then returned for funeral services. I understand I may be charged an additional fee for transport.
The undersigned herby represents that he/she has the legal right to control disposition of remains of decedent.
AT CITY: LONG BEACH | STATE: CALIFORNIA
To be completed by funeral establishment if AUTHORIZATION TO EMBALM AND NOTIFICATION TO TRANSPORT IS OBTAINED ORALLY (by telephone)
I declare under the penalty of perjury that the foregoing is true and correct.
SIGNATURE OF FUNERAL ESTABLISHMENT REPRESENTATIVE ACCEPTING AUTHORIZATION
at Long Beach STATE California
 
 
 
AFFORDABLE BURIAL & CREMATION SERVICE, INC. FD1602
Coroners: LA OC SB
I have proof read and agree that all information above is correct: