Please complete the form below to submit your Obituary Notice.
Name and Age of Deceased
Residence of Deceased
Place and Time of Death (day, date, time)
Services (check all that apply)
Memorial Service Location
Interment is Where?
Vigil Services/Rosary Services
Date and Place of Birth
Father Living or Deceased?
Mother's Maiden Name
Mother Living or Deceased?
Name of Spouse (include maiden name, if applicable)
Spouse Living or Deceased?
If Spouse is Deceased, Date of Death
When and Where Married
Career Information (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
Number of Great-Great-Grandchildren
Preceding in Death
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