Authorization for Interment

The undersigned hereby certify that they are the next of kin of the above named Decease, or otherwise have the full legal authority to direct the interment, or interment of the remains of the Deceased, and hereby authorize the above named cemetery to make disposition of the remains of the Deceased as indicated above. The undersigned hereby further certify and represent that they are the owner(s) or authorized representative(s) of the owner(s) of the above described Internment Rights and hereby authorize use of the said Interment Rights for the interment or inurnment of the remains of the Deceased. Cemetery is hereby authorized to install any outer burial container purchased in connection with this interment in the interment space described herein. The undersign hereby agree to indemnify and hold harmless the cemetery, its affiliates and their respective agents, officers and employees from any and all losses, cost of liability, including reasonable attorney's fees, it or any of them may sustain in connection with misrepresentations, misstatements, negligence, intentional acts or mosconduct by the undersigned as it relates to the interment or inurnment authorized hereunder. The undersigned agree that, at its own expense the cemetery has the right to correct an error in the interment or unurnment with no further liability to any other party.