Obituaries

Oliver Beemer
B: 1939-04-24
D: 2017-08-13
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Beemer, Oliver
Harry Fisher
B: 1942-04-01
D: 2017-08-13
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Fisher, Harry
Marylee Fairbairn
B: 1928-06-03
D: 2017-08-11
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Fairbairn, Marylee
Dorothy Panski
B: 1934-09-09
D: 2017-08-09
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Panski, Dorothy
Brian Burgess
B: 1952-09-29
D: 2017-08-05
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Burgess , Brian
Regina Hyde
B: 1970-04-19
D: 2017-08-02
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Hyde, Regina
Thomas Dehring
B: 1939-09-17
D: 2017-07-30
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Dehring, Thomas
Harold McKnight
B: 1943-10-09
D: 2017-07-26
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McKnight, Harold
Donald Coon
B: 1941-08-16
D: 2017-07-26
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Coon, Donald
Ruth Matthews
B: 1918-03-07
D: 2017-07-24
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Matthews, Ruth
Paul Peet
B: 1932-03-05
D: 2017-07-23
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Peet, Paul
Daniel Robertson
B: 1939-09-28
D: 2017-07-22
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Robertson, Daniel
Orval Gentz
B: 1921-07-27
D: 2017-07-21
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Gentz, Orval
Georgette Bishop
B: 1950-03-16
D: 2017-07-20
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Bishop, Georgette
Ronald Whitcomb
B: 1956-03-02
D: 2017-07-20
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Whitcomb, Ronald
Barry Patterson
B: 1956-08-09
D: 2017-07-15
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Patterson, Barry
Janice Wall
B: 1941-09-23
D: 2017-07-13
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Wall, Janice
Robert Davis
B: 1930-08-24
D: 2017-07-13
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Davis, Robert
Jean Schneider
B: 1946-11-07
D: 2017-07-08
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Schneider, Jean
Katherine DeBlouw
B: 1927-03-04
D: 2017-07-08
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DeBlouw, Katherine
Patricia Payne
B: 1928-08-21
D: 2017-07-04
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Payne, Patricia

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P.O. Box 406, 165 W. Oak St.
HARRISON, MI 48625
Phone: (989) 539-7810
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Pre-Arrangement

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Immediate Need


I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

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Please place my information on file