Obituaries

Donald Jakrzewski
B: 1938-12-21
D: 2020-01-18
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Jakrzewski, Donald
Kathleen DeLorge
B: 1942-04-23
D: 2020-01-16
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DeLorge , Kathleen
Doris Higgins
B: 1929-12-10
D: 2020-01-13
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Higgins, Doris
Denise Hawkins
B: 1957-05-23
D: 2020-01-11
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Hawkins, Denise
Dale Stekl
B: 1947-03-05
D: 2020-01-10
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Stekl, Dale
Melvin French
B: 1953-08-17
D: 2020-01-10
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French, Melvin
Daniel Beemer
B: 1964-01-03
D: 2020-01-10
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Beemer, Daniel
George Nash
B: 1942-08-07
D: 2020-01-04
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Nash, George
Jennifer Grain
B: 1971-05-30
D: 2020-01-02
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Grain, Jennifer
Helene Showen
B: 1928-10-05
D: 2020-01-02
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Showen , Helene
Paula Fouts
B: 1966-03-24
D: 2019-12-31
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Fouts, Paula
Gerald Morin
B: 1952-04-09
D: 2019-12-31
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Morin, Gerald
James Hall
B: 1934-01-11
D: 2019-12-30
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Hall, James
Karen Ritzer
B: 1952-12-05
D: 2019-12-24
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Ritzer, Karen
Melvin Swartz
B: 1956-04-11
D: 2019-12-23
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Swartz, Melvin
Bert Taylor
B: 1936-09-09
D: 2019-12-21
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Taylor, Bert
Jean Cook
B: 1934-11-29
D: 2019-12-19
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Cook, Jean
Larry Snyder
B: 1946-06-18
D: 2019-12-16
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Snyder, Larry
Shirley Scott
B: 1947-12-07
D: 2019-12-15
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Scott, Shirley
Clinton Goodenow
B: 1961-07-07
D: 2019-12-15
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Goodenow, Clinton
Donald Cowles
B: 1926-01-05
D: 2019-12-15
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Cowles, Donald

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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