This is to certify that:

_________________________________

of blessed memory
was accorded the last purification rites.
This Tahara was performed in full compliance with
Jewish Law and Tradition and in the spirit of reverence

Chicago Rabbinical Council

Chevra Kadisha
Chicago, Illinois

Rosh Pinah Chevra Kaddisha

Yonkers, New York

This is to certify that a Tahara was performed by our Chevra Kadisha for

________________________

According to Jewish Law and Tradition

At

_______________________

Date _________________________

Signed________________________