Obituaries

Michael Pergl
B: 1945-03-23
D: 2019-02-15
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Pergl, Michael
Thomas Caster
B: 1938-06-03
D: 2019-02-11
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Caster, Thomas
Theodore Clickner
B: 1933-04-24
D: 2019-02-11
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Clickner, Theodore
Elva Landers
B: 1937-08-19
D: 2019-02-09
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Landers, Elva
Joseph Wiczorek
B: 1929-09-23
D: 2019-02-07
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Wiczorek, Joseph
Carolyn Brockway
B: 1941-09-28
D: 2019-02-03
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Brockway, Carolyn
Tammi Steagall
B: 1968-10-13
D: 2019-01-30
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Steagall, Tammi
Michael Giannola
B: 1952-01-13
D: 2019-01-30
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Giannola, Michael
Benjamin Williams
B: 1953-06-16
D: 2019-01-28
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Williams, Benjamin
Judy Curtiss
B: 1972-10-02
D: 2019-01-26
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Curtiss, Judy
Elgin Dunham
B: 1937-11-16
D: 2019-01-24
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Dunham, Elgin
Kalvin Giddings
B: 1950-04-06
D: 2019-01-23
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Giddings , Kalvin
Susan Lynch
B: 1942-04-19
D: 2019-01-21
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Lynch, Susan
Troy Austin
B: 1964-08-20
D: 2019-01-21
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Austin, Troy
Emory David
B: 1942-06-30
D: 2019-01-20
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David, Emory
Bonnie Roberson
B: 1938-06-17
D: 2019-01-19
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Roberson, Bonnie
Floyd Berry
B: 1934-09-02
D: 2019-01-18
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Berry, Floyd
Melissa Schanck
B: 1968-10-14
D: 2019-01-13
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Schanck, Melissa
Craig Higbee
B: 1955-12-14
D: 2019-01-12
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Higbee, Craig
Patricia Maxwell
B: 1948-04-21
D: 2019-01-10
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Maxwell, Patricia
Billy Reynolds
B: 1948-09-23
D: 2019-01-09
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Reynolds, Billy

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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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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