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| Consent to Autopsy |
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State of _________________________ County of _________________________ ________________________ hereby consents to the performance of an autopsy on ________________________, the DECEASED, by ____________________________. The relationship of _________________________ to the deceased is __________________. Dated: ______________________ ______________________________ ______________________________ Sworn to and subscribed before me on the date stated above. ______________________________ Notary Public My commission expires: |
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