Obituaries

Sonja Bozek
B: 1936-02-27
D: 2019-12-03
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Bozek, Sonja
Tina Mominee-Cox
B: 1973-08-08
D: 2019-12-01
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Mominee-Cox, Tina
Ella Davenport
B: 1949-03-14
D: 2019-11-29
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Davenport, Ella
Keith Gooch
B: 1963-01-17
D: 2019-11-28
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Gooch, Keith
Michael Budnik
B: 1937-06-26
D: 2019-11-25
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Budnik, Michael
Robert Merrill
B: 1950-04-05
D: 2019-11-21
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Merrill, Robert
James Kelly
B: 1939-03-08
D: 2019-11-15
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Kelly , James
David Sweet
B: 1952-11-25
D: 2019-11-15
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Sweet, David
Natalie Hall
B: 1948-07-29
D: 2019-11-15
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Hall, Natalie
Richard Engel
B: 1954-11-29
D: 2019-11-09
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Engel , Richard
Neil Burkhead
B: 1974-07-24
D: 2019-11-09
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Burkhead, Neil
Matthew Lippe
B: 1972-04-14
D: 2019-11-07
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Lippe, Matthew
Eleanor Coburn
B: 1924-08-10
D: 2019-11-02
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Coburn, Eleanor
Leo Hines
B: 1942-02-18
D: 2019-11-01
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Hines, Leo
Kenneth Thomas
B: 1961-12-16
D: 2019-11-01
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Thomas, Kenneth
Delbert Brewer
B: 1944-10-11
D: 2019-11-01
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Brewer, Delbert
Bryan Harton
B: 1949-03-15
D: 2019-10-30
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Harton, Bryan
Agnes McPherson
B: 1932-06-04
D: 2019-10-28
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McPherson, Agnes
Wilfred Morningstar
B: 1962-01-10
D: 2019-10-24
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Morningstar, Wilfred
Joyce Ridenour
B: 1926-10-10
D: 2019-10-17
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Ridenour, Joyce
Alma Bailey
D: 2019-10-16
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Bailey , Alma

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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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