Obituaries

Robert Payne
B: 1953-12-31
D: 2018-07-18
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Payne, Robert
Ernest Comer
B: 1967-11-23
D: 2018-07-16
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Comer, Ernest
James Heath
B: 1949-12-02
D: 2018-07-16
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Heath, James
June Koppela
B: 1923-01-20
D: 2018-07-13
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Koppela, June
Alice Treadway
B: 1932-07-08
D: 2018-07-13
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Treadway, Alice
Richard Tackett
B: 1942-07-30
D: 2018-07-13
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Tackett, Richard
Linda Bell
B: 1949-09-21
D: 2018-07-10
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Bell, Linda
Victor Allen
B: 1931-08-17
D: 2018-07-10
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Allen, Victor
Jewelline Smith
B: 1936-11-19
D: 2018-07-07
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Smith, Jewelline
Thomas Ray
D: 2018-07-04
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Ray, Thomas
Robert Williams
B: 1947-05-24
D: 2018-07-02
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Williams, Robert
Glorya Wright
B: 1943-04-20
D: 2018-06-30
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Wright, Glorya
Delbert Riske
B: 1937-12-06
D: 2018-06-29
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Riske, Delbert
Bryan Herber
B: 1989-10-31
D: 2018-06-29
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Herber, Bryan
William Maurer
B: 1933-01-15
D: 2018-06-26
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Maurer, William
James Roland
B: 1941-07-18
D: 2018-06-26
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Roland, James
Janice Bertrand
B: 1952-09-21
D: 2018-06-24
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Bertrand, Janice
William Stutzner
B: 1957-07-09
D: 2018-06-24
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Stutzner, William
Dorothy Sponaugle
B: 1927-08-10
D: 2018-06-21
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Sponaugle, Dorothy
Wayne Statt
B: 1938-07-29
D: 2018-06-17
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Statt, Wayne
Leona Stocking
B: 1920-11-09
D: 2018-06-13
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Stocking, Leona

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

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Immediate Need


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:

Please select one of the options below:

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Please place my information on file