A prayer to Mary, and an triple invocation:

O dearest Lady, Sweet Mother mine, watch the hour when my departing soul
shall lose its hold on all earthly things, and stand unveiled in the
presence of its Creator. Show thyself as my tender Mother then, and offer
to the Eternal Father the precious Blood of thy Son Jesus for my poor soul,
that it may, thus purified, be pleasing in His sight. Plead for thy poor
child at the moment of his (or her) departure from this world, and say to
the Heavenly Father: Receive him (or her) this day into Thy Kingdom! Amen.

Jesus, Mary and Joseph, I give you my heart and my soul.
Jesus, Mary and Joseph, assist me in my last agony.
Jesus, Mary and Joseph, may I breathe forth my soul in peace with you.

Imprimatur: +John Farley, Archbishop of New York, Sept 19, 1908.