Obituaries

Jerome Chlebus
D: 2017-11-23
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Chlebus, Jerome
Dorothy Sylvester
B: 1947-04-19
D: 2017-11-21
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Sylvester, Dorothy
Nancy Vandenbrooks
B: 1942-03-14
D: 2017-11-15
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Vandenbrooks, Nancy
Lacey Britton
B: 1987-08-01
D: 2017-11-15
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Britton, Lacey
Winifred Guzowski
B: 1923-07-13
D: 2017-11-14
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Guzowski, Winifred
James Martin
B: 1946-09-15
D: 2017-11-13
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Martin, James
Charles Gross
B: 1933-01-23
D: 2017-11-12
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Gross, Charles
David Hatch
B: 1955-07-13
D: 2017-11-12
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Hatch, David
Justin Blain
B: 1939-01-27
D: 2017-11-07
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Blain, Justin
Roland Deadman
B: 1940-03-09
D: 2017-11-06
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Deadman, Roland
Elaine Wilburn
B: 1939-02-27
D: 2017-11-05
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Wilburn, Elaine
Robin Hamilton
B: 1953-09-26
D: 2017-11-02
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Hamilton, Robin
Roger Coon
B: 1969-05-07
D: 2017-10-29
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Coon, Roger
Donald Lackie
B: 1944-05-19
D: 2017-10-27
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Lackie, Donald
Thomas McCleary
B: 1941-04-22
D: 2017-10-25
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McCleary, Thomas
Michael Girardin
B: 1944-03-15
D: 2017-10-23
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Girardin, Michael
Doris DeVall
B: 1929-03-04
D: 2017-10-21
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DeVall, Doris
Luveda Hunter
B: 1941-11-21
D: 2017-10-20
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Hunter, Luveda
Earl LaDere
B: 1936-01-16
D: 2017-10-19
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LaDere, Earl
Terry Arnold
B: 1987-08-21
D: 2017-10-17
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Arnold , Terry
Betty Bayliss
B: 1922-10-23
D: 2017-10-16
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Bayliss, Betty

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HARRISON, MI 48625
Phone: (989) 539-7810
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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