Obituaries

Alma Bailey
D: 2019-10-16
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Bailey , Alma
Karen Lipovsky
D: 2019-10-16
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Lipovsky, Karen
Allen Bond
B: 1942-09-23
D: 2019-10-15
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Bond, Allen
Rose Malcomnson
B: 1927-05-02
D: 2019-10-12
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Malcomnson, Rose
Brian Young
B: 1964-10-17
D: 2019-10-12
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Young, Brian
Kathleen Beasley
B: 1930-12-29
D: 2019-10-11
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Beasley, Kathleen
James Sisco
B: 1936-09-19
D: 2019-10-10
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Sisco, James
Michael Storms
B: 1968-06-21
D: 2019-10-10
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Storms, Michael
Gregory LaFrance
B: 1953-07-25
D: 2019-10-08
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LaFrance, Gregory
Marlene Walraven
B: 1937-08-31
D: 2019-10-06
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Walraven, Marlene
Jackie Fife
D: 2019-10-05
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Fife, Jackie
William Heliker
B: 1924-06-28
D: 2019-10-05
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Heliker, William
Roberta Ison
D: 2019-10-04
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Ison, Roberta
James Hill
B: 1943-01-19
D: 2019-10-04
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Hill , James
Marjorie Wilson
B: 1932-09-06
D: 2019-10-04
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Wilson, Marjorie
Alma Jesse
B: 1929-04-02
D: 2019-10-02
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Jesse, Alma
Eunice Rose
B: 1931-10-16
D: 2019-10-02
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Rose, Eunice
Barbara Phillips
B: 1953-05-18
D: 2019-10-01
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Phillips, Barbara
Lawrence Plough
B: 1955-05-30
D: 2019-10-01
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Plough, Lawrence
Patrick Gillen
B: 1956-06-19
D: 2019-09-30
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Gillen, Patrick
David Rutledge
B: 1939-02-21
D: 2019-09-25
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Rutledge, David

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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