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Obituary Worksheet
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Name of Deceased
Title
Mr.
Mrs.
Miss
Ms.
Other (i.e. Military Rank)
City
State
Formerly of
Place of Death
Date of Birth
Date of Death
Veteran of the armed services
Yes
No
Rank
Years
Branch
Medals, awards & commendations
Type of Service*
Memorial
Graveside
Mass
Private Family
None
Date and Time of Service
Place of service (please include city)
Service Officials
Burial at (please include city)
Visitation (place, date, & time)
Memorials
Other Biographical Information (predeceased family; hobbies; work; etc.)
Survivors
Relationship and Name
Relationship and Name
Relationship and Name
Relationship and Name
Relationship and Name
Relationship and Name
City and State
City and State
City and State
City and State
City and State
City and State
# Grandchildren
# Great Grandchildren
Submit
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