Subject
First Name
Middle Name
Last Name
Sex
Date of Birth
SSN
Armed Services?
Branch
Serial Number
Date enlisted
Date of Discharge
Rank at Discharge
brief military history with any honors
State of Residence
County of Residence
City of Residence
Within City Limits?
Address
Phone Number
Father's Name
Mother's Name
Race
Education
Citizen of what Country
Birthplace
Marital Status
Serviving Spouce
Daughters
(names and place of living)
Sons
(names and place of living)
Brothers
(names and place of living)
Sisters
(names and place of living)
Grandchildren
Great-grandchildren
Usual or Last Occupation
Name and place of Cemetery
Desired form of Disposition
Suggested place for funeral and visitation
Memorial Donations
Church Affiliations
Ministers
Civic and Fraternal Affiliations
Newspapers
Special Music
How would you like to be contacted
(please leave contact info)
© 2003 Seagle Funeral Home