Obituaries

Rumsey Swallow
B: 1935-06-30
D: 2021-01-13
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Swallow, Rumsey
Donald Needham
B: 1935-08-20
D: 2021-01-10
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Needham , Donald
Keith Czarnecki
B: 1947-06-27
D: 2021-01-09
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Czarnecki, Keith
Raymond Gault
B: 1960-02-05
D: 2021-01-08
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Gault, Raymond
George Lintz
B: 1934-12-21
D: 2021-01-08
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Lintz, George
Delores Chancey
B: 1932-07-30
D: 2021-01-08
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Chancey, Delores
Julie Cargill
B: 1931-03-25
D: 2021-01-06
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Cargill, Julie
Doretta Souders
B: 1938-12-29
D: 2020-12-29
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Souders, Doretta
Joyce Wagner
B: 1951-04-09
D: 2020-12-27
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Wagner , Joyce
Richard Lohmann
B: 1931-07-10
D: 2020-12-26
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Lohmann, Richard
Thomas Dygert
B: 1949-02-04
D: 2020-12-25
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Dygert, Thomas
Constance Osborne
B: 1944-08-10
D: 2020-12-24
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Osborne , Constance
Sara Bushell
B: 1933-12-31
D: 2020-12-20
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Bushell, Sara
Charles Kittle
B: 1946-01-17
D: 2020-12-20
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Kittle , Charles
David Higgins
B: 1946-04-02
D: 2020-12-18
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Higgins, David
Charles Hall
B: 1933-04-12
D: 2020-12-14
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Hall, Charles
Jerry Coffman
B: 1962-11-27
D: 2020-12-14
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Coffman , Jerry
Donald Mathews
B: 1934-07-08
D: 2020-12-13
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Mathews, Donald
Edward McDiarmid
B: 1955-12-31
D: 2020-12-12
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McDiarmid, Edward
Kristi Winkler
B: 1961-07-03
D: 2020-12-09
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Winkler, Kristi
Lorie Adkins
B: 1965-01-07
D: 2020-12-09
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Adkins, Lorie

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P.O. Box 406, 165 W. Oak St.
HARRISON, MI 48625
Phone: (989) 539-7810
Fax:

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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