Funeral Home _____________________________________________________________________ Prepaid? Papers/Certificate location_________________________________________________ Cemetery_________________________________________________________________________ Type of Casket_______________
_____________________________________________________ Head stone/marker________________________________________________________________ Crypt or vault_______________
______________________________________________________ Type of service - religious, fraternal, military, civil____________________________________ Preferred readings_______
_________________________________________________________ Officiator_________________________________________________________________________ Information for newspaper
obituary___________________________________________________________________________ __________________________________________________________________________________
__________________________________________________________________________________ __________________________________________________________________________________ ___________________________________________
_______________________________________ __________________________________________________________________________________ ________________________________________________________________________________
Special wishes___________________________________________________________________ PEOPLE TO NOTIFY UPON DEATH:
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