Friday, 10 September 2010
Obituary

Do you have an obituary to submit?

obituary

The Delta County Independent publishes obituaries that may be of

interest to our readers. This service is free of charge unless you
have specific requests that do not follow our standard obituary format.
Simply fill out the form below or if you prefer, you may attach a file
with the information already typed. A photo is welcome too. You may
attach up to four files. Total size of the files uploaded is limited to
ten megabytes.

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* Required information.
Contact Name *
Address *
City *
State *
Zip Code *
Daytime Phone *
Email *
Deceased Name
Place, Time, Cause Of Death
Born Date, Town, State
Parent's Names
Residence, Length Resided
Previous Residences, Years
Military Service, Years, Notable Events
Education, Years Attended, Graduated
Occupation(s), Years, Notable Events
Married To, Date, Place Of Marriage
Previous Spouse(s)
Brothers, Sisters, Residences
Children's Names, Residences
Number Of Great-Great-, Great-, and Grandchildren
Church Membership, Years, Notable Events
Organization Memberships, Years, Notable Events
Interests, Pastimes, Hobbies
Survived By, Relationship, Residence
Preceeded In Death By, Relationship
Funeral/Memorial Service Date, Place, Time
Officiating
Cemetary
Mortuary
Memorial Contributions To
Other Remarks
File Attachment 1
File Attachment 2
File Attachment 3
File Attachment 4

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