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Mausoleum 2. Grave Site 3. Vault 4. Crypt 5. Casket 6. Urn 7. Headstone 8. Open/Close 9. Other Signature Funeral Home or Insurance Company Representative Form H1238-A/12-2009 Verification of Pre-Need Information. Date/Fecha Caseworker/Trabajador Funeral Home or Insurance Company Name and Address Office Address Area Code and Telephone No* Oficina Clave del rea y Tel fono This person is being considered for assistance. The requested information as well as information about any additional...
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