Obituaries

Ronald Johnson
B: 1941-08-10
D: 2017-12-07
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Johnson, Ronald
Dolly LaRue
B: 1933-04-27
D: 2017-12-07
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LaRue, Dolly
Maxine Blye
B: 1930-04-25
D: 2017-12-06
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Blye, Maxine
Francis Rice
B: 1925-10-17
D: 2017-12-05
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Rice, Francis
Larry Williamson
B: 1941-06-11
D: 2017-11-30
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Williamson, Larry
Gail Wise
B: 1952-03-06
D: 2017-11-28
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Wise, Gail
Clyde Hawn
B: 1929-09-16
D: 2017-11-23
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Hawn, Clyde
Sandra Breden
B: 1947-05-25
D: 2017-11-22
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Breden, Sandra
Cpl. Clyde Clifford
D: 2017-11-18
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Clifford, Cpl. Clyde
Carmen Bateman
B: 1936-02-23
D: 2017-11-18
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Bateman, Carmen
Donald Cloud
B: 1936-05-09
D: 2017-11-18
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Cloud, Donald
Gary Powell
B: 1954-11-16
D: 2017-11-17
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Powell, Gary
Alvis McDougal
B: 1926-06-08
D: 2017-11-16
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McDougal, Alvis
Levi Chupp
B: 2017-09-07
D: 2017-11-16
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Chupp, Levi
Pamela Smith
B: 1955-11-05
D: 2017-11-11
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Smith, Pamela
Patricia Blake
B: 1939-11-14
D: 2017-11-11
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Blake, Patricia
Oralee Kabzinski
B: 1946-08-25
D: 2017-11-11
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Kabzinski, Oralee
Linda Smith
B: 1949-04-27
D: 2017-11-06
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Smith, Linda
Rose Whittaker
B: 1927-04-23
D: 2017-11-06
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Whittaker, Rose
Dorothy Nelson
B: 1923-07-15
D: 2017-11-05
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Nelson, Dorothy
Sadie Bermea
B: 1960-07-01
D: 2017-11-04
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Bermea, Sadie

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10776 McKinley Hwy
Osceola, IN 46561
Phone: (574) 674-5991
Fax: (574) 674-6773

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Chapel Hill Funeral Home, please notify us first by phone at (574) 674-5991.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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