Obituaries

Desmond Stutzman
B: 2018-11-14
D: 2018-11-14
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Stutzman, Desmond
Roberta Smedley
B: 1928-03-20
D: 2018-11-12
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Smedley, Roberta
Gerald Rodabaugh
B: 1930-01-08
D: 2018-11-01
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Rodabaugh, Gerald
Donald Adams
B: 1969-03-29
D: 2018-10-29
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Adams, Donald
Florence Besey
B: 1972-11-06
D: 2018-10-27
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Besey, Florence
Debra McGrath
B: 1956-09-28
D: 2018-10-26
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McGrath, Debra
Kevin Berk
B: 1962-03-14
D: 2018-10-26
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Berk, Kevin
Bernice Bellows
B: 1917-11-10
D: 2018-10-24
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Bellows, Bernice
Charles Erin
B: 1948-06-11
D: 2018-10-21
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Erin, Charles
Laurence Garrow
B: 1933-03-03
D: 2018-10-19
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Garrow, Laurence
Stephen Edwards
B: 1947-11-10
D: 2018-10-13
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Edwards, Stephen
Gerald Norton
B: 1953-07-11
D: 2018-10-12
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Norton, Gerald
Thomas Ruhstorfer
B: 1951-09-30
D: 2018-10-11
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Ruhstorfer, Thomas
Joyce Laverty
B: 1934-11-18
D: 2018-10-10
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Laverty, Joyce
Arnold Hanner
B: 1948-09-05
D: 2018-10-09
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Hanner, Arnold
Betty Adams
B: 1928-02-15
D: 2018-10-07
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Adams, Betty
Elizabeth Little
B: 1954-01-12
D: 2018-10-06
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Little, Elizabeth
Floyd Koontz
B: 1952-02-24
D: 2018-10-04
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Koontz, Floyd
Doral Eichhorn
B: 1951-11-27
D: 2018-09-26
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Eichhorn, Doral
Constance Smith
B: 1951-03-21
D: 2018-09-19
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Smith, Constance
Frank Whalen
B: 1974-08-08
D: 2018-09-05
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Whalen, Frank

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408 W. Main St.
P.O. Box 0866
Farwell, MI 48622
Phone: 989-588-4541
Fax: 989-588-6084

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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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