Vital Statistic Form
NYC Funeral & Cremation Service Inc
Premier Funeral Cremation Service
"Cremains which shall not have been claimed within 120 DAYS from the date of cremation may be disposed of by this firm, in the following manner of disposition_______________."
Specify dispostion of cremains
I hereby designate the Disposition of Cremains and acknowledge receipt of a copy of this form.
Thank you for contacting us! If needed, you will hear back within 48-72 hours.
Manor of Disposition of Cremains:
Return to (specify person to receive cremains below)
N.Y.C. Funeral & Cremation Service Inc. "Customer's Designation of Intentions"
Name of Deceased:
Printed Name and relationship to Deceased
Cremation Location: Crematory
NYC Funeral and Cremation Service Inc.
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