Going Home Cremation Services1120 S Pinellas BaywayTierre Verde, FL 33716Ph. 239-233-6122 Fax 727-934-1529Authorization to Release Body District 21/ Lee Counties(Print: Next of Kin Name) , (Relationship)(Name of Decease)Hereby authorize theDistrict 21 Medical Examiner’s office To Release the Body to(Funeral Home/Cremation Service) (Signature of Next of Kin) Date Δ