Obituaries

Clarence Black
B: 1932-02-04
D: 2017-08-18
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Black, Clarence
Carole Martin
B: 1939-04-14
D: 2017-08-11
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Martin, Carole
James Davis
B: 1944-11-24
D: 2017-08-09
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Davis, James
James Maddux
B: 1933-02-11
D: 2017-08-06
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Maddux, James
Richard J. & Norma Barth
D: 2017-08-05
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Barth, Richard J. & Norma
Marjorie Gesto
B: 1950-03-04
D: 2017-08-02
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Gesto, Marjorie
Larry Sommers
B: 1938-11-09
D: 2017-08-02
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Sommers, Larry
Dennis Herrschop
B: 1944-06-01
D: 2017-08-01
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Herrschop, Dennis
Betty Miller
B: 1929-12-02
D: 2017-08-01
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Miller, Betty
Ronald Hughes
B: 1941-11-15
D: 2017-07-31
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Hughes, Ronald
William Steenbeke
B: 1951-11-26
D: 2017-07-30
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Steenbeke, William
Freda Arbaugh
B: 1947-07-22
D: 2017-07-28
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Arbaugh, Freda
Mary Borders
B: 1923-11-21
D: 2017-07-28
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Borders, Mary
Lottie Keel
B: 1922-05-20
D: 2017-07-23
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Keel, Lottie
Chester Naragon
B: 1928-07-12
D: 2017-07-20
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Naragon, Chester
James Cofield
B: 1961-04-15
D: 2017-07-18
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Cofield, James
Russell Hartman
B: 1955-01-25
D: 2017-07-17
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Hartman, Russell
Anne Claeys
B: 1923-01-29
D: 2017-07-16
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Claeys, Anne
Mary Burkett
D: 2017-07-15
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Burkett, Mary
Rose Zircher
B: 1946-07-09
D: 2017-07-13
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Zircher, Rose
Vivian Noel
B: 1932-06-03
D: 2017-07-12
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Noel, Vivian

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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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