The certificate of acknowledgment (PDF) must be in the form set forth in California Civil Code section 1189. Below Are A Few Example of Acknowledgement Notes That You Can Use.Thank you for your prayers and support during our time of loss. It has meant so much to our family. Complete and sign the sworn statement in front of the notary public. Request the notary to acknowledge your signature in the sworn statement. You made (deceased's name) time in the hospital easier and we thank you for that. Perloff Memorial Fellowship. If you're looking for funeral speech examples, here are a few great eulogy examples that speak to different experiences.