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Online Death Record
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Name
Age
Phone
Residence
Date of Death
Day
Time
Place of Death
In City?
Yes
No
Visitation Time
Day
Date
Place
Funeral Time
Day
Date
Place
Clergyman
Cemetery
Service Type
No Service
Memorial
Celebration Of Life
Mass
Entombment
Graveside
Organization Service
Memorials
Birth Date
Father's Name
Place of Birth
Father Living
Yes
No
Mother's Name
Maiden
Mother Living
Yes
No
Residence Since
Moved From
Ed
Year of Graduation
High School
College
Veteran
War
Branch
Rank
First Spouse
Maiden
Living
Yes
No
D.OD.
Marital Status
Wedding Date
Place of Marriage
Second Spouse
Maiden
Living
Yes
No
D.O.D.
Marital Status
Wedding Date
Place of Marriage
Newspaper
HP
Ft. Wayne
Marion
Columbia City
Other
Other Newspaper
Occupation
Memberships
Hobbies and Likes
Survivors
Grandchildren
Great Grandchildren
Great-Grand Grand
Step Grand
Step Great-Grand
Step Great-Great Grand
Deceased
Surviving Parent(s)
Spouse
Informant
Address
City
State
Zip
Relation
Phone
Music Provided By
Soloist
Email Address
Songs
Florist
Doctor
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