Obituaries

Donna Clark
B: 1946-05-04
D: 2022-12-15
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Clark, Donna
Cody White
B: 1993-08-20
D: 2022-12-04
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White, Cody
Robert Sheridan
B: 1942-06-11
D: 2022-12-04
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Sheridan, Robert
Joseph Kucharski
B: 1958-10-07
D: 2022-12-04
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Kucharski, Joseph
Renay Elliston
B: 1949-12-19
D: 2022-12-03
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Elliston, Renay
Roy Thompson
B: 1967-01-26
D: 2022-12-01
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Thompson, Roy
Terry Hamilton
B: 1951-07-12
D: 2022-11-30
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Hamilton, Terry
Eileen Clauw
B: 1944-03-04
D: 2022-11-30
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Clauw, Eileen
Carol Goyette
B: 1942-12-11
D: 2022-11-29
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Goyette, Carol
Russell LaCroix
B: 1931-08-06
D: 2022-11-28
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LaCroix, Russell
Donna Flynn
B: 1935-09-21
D: 2022-11-25
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Flynn, Donna
Mary Ryan
B: 1936-06-01
D: 2022-11-25
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Ryan, Mary
Danielle Stevens
B: 1984-03-19
D: 2022-11-20
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Stevens, Danielle
Elisabeth Scherer
B: 1935-05-24
D: 2022-11-20
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Scherer, Elisabeth
Janet Dolland
B: 1938-10-01
D: 2022-11-15
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Dolland, Janet
Gary Megge
B: 1951-09-10
D: 2022-11-15
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Megge, Gary
Geraldine Bieszke
B: 1925-03-29
D: 2022-11-14
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Bieszke, Geraldine
Vivian Brooks
B: 1930-04-05
D: 2022-11-14
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Brooks, Vivian
Harvey Kraase
B: 1940-03-31
D: 2022-11-12
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Kraase, Harvey
Christine Anthony
B: 1924-03-06
D: 2022-11-09
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Anthony, Christine
Stuart Scott
B: 1960-07-17
D: 2022-11-07
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Scott, Stuart

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Fraser, MI 48026
Phone: (586) 293-3390
Fax: (586) 293-5837

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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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