Obituaries

Samantha Cosway
B: 1994-05-13
D: 2018-11-11
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Cosway, Samantha
Conner Birdsall
B: 2018-10-16
D: 2018-11-08
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Birdsall, Conner
Jackie Morgan
B: 1954-03-19
D: 2018-11-07
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Morgan, Jackie
James Elkins
B: 1968-12-07
D: 2018-11-06
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Elkins, James
Mitchell Krchmar
D: 2018-11-04
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Krchmar, Mitchell
Bonnie Lopez
B: 1968-04-11
D: 2018-10-30
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Lopez, Bonnie
David Lipovsky
B: 1949-09-21
D: 2018-10-29
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Lipovsky, David
Richard Terry
B: 1941-02-02
D: 2018-10-23
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Terry, Richard
Linda Pillsbury
B: 1952-10-09
D: 2018-10-23
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Pillsbury, Linda
Jean Hall
B: 1930-06-14
D: 2018-10-22
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Hall, Jean
Carson New
B: 1944-01-12
D: 2018-10-22
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New, Carson
June Venner
B: 1943-05-24
D: 2018-10-20
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Venner, June
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

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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:

Please select one of the options below:

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Please contact me to schedule an appointment

Please place my information on file