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Obituary Announcement
Astoria South Fulton Argus • PO Box 590, Astoria, IL 61501 • Phone 309-329-2151
Name of Deceased: _______________________________________________________ Age: ____________
Residence: _______________________________________________________________________________
Date of Death: _____________________________________________ Time: _________________________
Place of Death: ____________________________________________________________________________
Date of Birth: ______________________________________________ Place: _________________________
Parents: __________________________________________________________________________________
Married: ___________________________________________________ Date: _________________________
Place: ____________________________________________________ Survives? Yes No
Preceded By: _____________________________________________________________________________
Surviving:
Membership: (Church, etc.)
Veteran: __________________________________________________________________________________
Occupation:_______________________________________________________________________________
Service Time: _____________________________________________________________________________
Service Place: _____________________________________________________________________________
Officiating: ________________________________________________________________________________
Visitation: ________________________________________________________________________________
Burial: ___________________________________________________________________________________
Memorials: _______________________________________________________________________________
Funeral Home: ____________________________________________________________________________
Other Information:
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