Obituaries

Gary Campbell
B: 1953-08-26
D: 2018-10-17
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Campbell, Gary
Frazer Bartel
B: 1952-02-29
D: 2018-10-16
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Bartel, Frazer
Libardo Rondan
B: 1929-06-26
D: 2018-10-13
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Rondan, Libardo
Judith Palkoski
B: 1946-12-23
D: 2018-10-09
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Palkoski, Judith
Kenneth Bauder
B: 1934-08-28
D: 2018-10-06
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Bauder, Kenneth
Larry Hines
B: 1942-05-01
D: 2018-10-04
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Hines, Larry
William Kinner
B: 1944-05-08
D: 2018-10-03
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Kinner, William
Robert Tumath
B: 1967-07-07
D: 2018-09-30
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Tumath, Robert
Edsel Laitinen
B: 1929-06-06
D: 2018-09-27
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Laitinen, Edsel
Gloria Erhardt
B: 1936-09-26
D: 2018-09-26
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Erhardt, Gloria
Nancy Fouts
B: 1932-04-21
D: 2018-09-25
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Fouts, Nancy
Shirley Mayfield
B: 1927-09-10
D: 2018-09-20
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Mayfield, Shirley
Earl Sprague
B: 1939-11-25
D: 2018-09-15
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Sprague, Earl
Colleen May
B: 1948-11-17
D: 2018-09-15
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May, Colleen
Janet Dickey
D: 2018-09-13
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Dickey, Janet
Paul Nielsen
B: 1951-08-17
D: 2018-09-13
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Nielsen, Paul
Gerald Smith
B: 1946-03-02
D: 2018-09-07
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Smith, Gerald
Gary Partlow
B: 1984-02-01
D: 2018-09-07
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Partlow, Gary
William Patch
B: 1934-06-05
D: 2018-09-06
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Patch, William
William Tuttle
B: 1936-02-14
D: 2018-09-06
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Tuttle, William
William Hicks
B: 1960-09-30
D: 2018-09-03
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Hicks, William

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P.O. Box 406, 165 W. Oak St.
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