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Planning and Death Certificate Information
The following information is required for submssion of the death certificate and will also be used for preparation of the service program and newspaper obituary. This information will be treated very confidentially and will not be used in any way except for carrying out the family wishes for funeral services. You may elect to:
- fill out the form, print it and mail, fax or bring it in to the office
- fill out the form and save it in our secure database for future editing - we then can acces the data directly as required. You will be issued an account name and password so you may access and edit the nformation as desired.
- print a blank form, fill it out and mail, fax or bring it in to the office
- bring the information into the office for us to fill out the form
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Diane Morse b: 3/8/1967 d: 2/4/2012 Service: Pending Vera Louise Sims-Marsing b: 4/15/1940 d: 2/1/2012 Service: 02/11/2012, 1:00 pm Sunset Memorial Gardens Ryan Claypoole b: 7/6/1975 d: 1/18/2012 Service: Pending Helen Madsen b: 8/30/1921 d: 1/18/2012 Service: 01/20/2012, 11:00 am St. Francis Episcopal Church Christopher Brown b: 8/30/1958 d: 1/11/2012 Service: 01/21/2012, 2:00 pm Chris's home 1431 Millcreek Drive Byron Phelps b: 5/5/1922 d: 1/10/2012 Service: 01/17/2012, 11:00 am Moab Baptist Church
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