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Obituary Form

Please submit form by Tuesday at noon for inclusion in the Thursday publication. A photo, as desired, is also appropriate. The photo should be clear and well focused. Scanned Polaroids and photos printed on an inkjet printed are unacceptable.

Name of Deceased
   
Age, Date and Place of Birth:
   
Residence of Deceased
   
Place and Time of Death (Day, Date, Time)
   
Funeral Home
   
Funeral Date/Time
Funeral Location
Officiating
   
Special Notes (Rosary, wake, visitation, memorials)
   
Burial Date/Time
Burial Location
   
Special Notes (regardial burial services)
   
Past Employment
   
Military Service
   
Civic/Military Honors
   
Education
   
Organization Memberships
   
Church membership/Denomination
   
Preceded in Death
   
Survived by  
Husband/Wife
Sons
Daughters
Parents
Brothers
Sisters
Grandparents
Grandchildren
Great-Grandchildren
   
Photo of Person
   
Contact Person
Contact Email
Contact Phone

 

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