Obituary Form

Photos may be included and should be sent in a jpg format at a minimum of 225 dpi resolution. Black and white or color photos can be used, providing the picture is of good quality and not too small. Please include only the most outstanding or notable achievements (or "high points") ...

Name and age of deceased

Residence of deceased

Place and time of death (day, date, time)

Service (check all that apply)

Funeral

Graveside

Burial

Cremation

Funeral date and time

Funeral location

Memorial date & time

Memorial service location

Officiant

Organist or instrumentalist

Soloist

Internment location

Vigil/Rosary services

Vigil officiant

Deceased place of birth

Father's name

Father living?

Mother's name

Mother living?

Name of spouse (include maiden name, if applicable)

Spouse living?

If spouse deceased, date and time of death:

When and where married?

Career information (Give a BRIEF description of occupation, education, military or other special honors:)

Other Survivors? Children's Names, Names of Spouses and Where They Live, if Applicable:

Brothers and Sisters (with spouses and where they live):

Number of grandchildren

Number of great-grandchildren

Preceding in death (list name and relationship to deceased)

Pallbearers

Funeral home/mortuary in charge of services

Name and phone number of contact if more information required:

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