Obituaries

James Haley
B: 1952-03-11
D: 2020-10-17
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Haley, James
Patricia Tomes
B: 1939-01-14
D: 2020-10-16
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Tomes, Patricia
Martha Davis
B: 1927-09-12
D: 2020-10-16
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Davis, Martha
Donna Pierce
B: 1950-09-30
D: 2020-10-15
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Pierce , Donna
Carolyn Wesley
B: 1947-03-12
D: 2020-10-15
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Wesley, Carolyn
Cheryll Eggeman
B: 1933-08-11
D: 2020-10-09
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Eggeman, Cheryll
Larry Beadle
B: 1935-07-07
D: 2020-10-08
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Beadle, Larry
Daniel Carlisle
B: 1955-12-03
D: 2020-10-07
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Carlisle , Daniel
Annabelle Yesney
B: 1934-02-20
D: 2020-10-04
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Yesney, Annabelle
Richard Foxworth
B: 1962-07-07
D: 2020-10-03
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Foxworth , Richard
Elizabeth Mongeon
B: 1920-08-31
D: 2020-10-02
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Mongeon, Elizabeth
John Barrett
B: 1955-05-06
D: 2020-10-02
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Barrett, John
Linden Brand
B: 1943-02-28
D: 2020-09-30
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Brand, Linden
Dennis Latowski
B: 1956-11-18
D: 2020-09-29
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Latowski, Dennis
Richard Pawloski
B: 1934-01-21
D: 2020-09-24
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Pawloski, Richard
Jon VanCamp
B: 1936-03-16
D: 2020-09-24
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VanCamp, Jon
Thomas Pnacek
B: 2005-01-14
D: 2020-09-18
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Pnacek, Thomas
Roderick Tumath
B: 1963-01-22
D: 2020-09-18
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Tumath , Roderick
Wilda Mosher
B: 1931-06-06
D: 2020-09-15
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Mosher, Wilda
Norma Halter
B: 1931-04-20
D: 2020-09-12
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Halter, Norma
Laurie Sweet
B: 1967-01-19
D: 2020-09-09
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Sweet, Laurie

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P.O. Box 406, 165 W. Oak St.
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