Obituaries

Maxine Phillips
B: 1924-01-14
D: 2017-06-22
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Phillips, Maxine
Marvin Peake
B: 1935-10-23
D: 2017-06-21
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Peake, Marvin
Geneva Williams
B: 1923-11-29
D: 2017-06-20
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Williams, Geneva
Charles Bowman
B: 1930-11-08
D: 2017-06-19
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Bowman, Charles
Graziano Filiputti
B: 1937-12-12
D: 2017-06-12
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Filiputti, Graziano
Douglas Buddemeier
B: 1943-08-04
D: 2017-06-11
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Buddemeier, Douglas
Russel Ford
B: 1936-10-28
D: 2017-06-08
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Ford, Russel
Harry Schultz
B: 1930-11-03
D: 2017-06-07
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Schultz, Harry
Charles LaBin
B: 1947-10-15
D: 2017-06-05
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LaBin, Charles
Rodrick Williams
B: 1952-12-21
D: 2017-06-03
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Williams, Rodrick
Nella Schaefer
B: 1962-03-15
D: 2017-06-03
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Schaefer, Nella
Vernon Cheek
B: 1960-04-02
D: 2017-06-01
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Cheek, Vernon
Roy Marshall
B: 1931-03-27
D: 2017-05-25
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Marshall, Roy
Michelle Koudelka
B: 1973-09-11
D: 2017-05-25
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Koudelka, Michelle
Larry Pennepacker
B: 1946-01-01
D: 2017-05-14
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Pennepacker, Larry
Annie Underly
B: 1925-11-27
D: 2017-05-11
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Underly, Annie
Herbert "Herb" Doster
B: 1933-01-11
D: 2017-05-10
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Doster, Herbert "Herb"
Ositha Williams
B: 1920-09-09
D: 2017-05-06
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Williams, Ositha
Scott Blanchard
B: 1971-09-05
D: 2017-05-06
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Blanchard, Scott
Verle Schantz
B: 1918-04-10
D: 2017-05-03
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Schantz, Verle
Gregory Pease
B: 1958-07-17
D: 2017-05-03
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Pease, Gregory

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133 E. Orchard Street
P.0. Box 217
Delton, MI 49046
Phone: (269) 623-5461
Fax: (269) 623-3188

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Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

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I. Biographical Information

Full Name:
Address1:
Address2:
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Telephone Number:
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Email Address:
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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 You In Death
Your Occupation:
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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:
         

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