Obituary Program Template - Simpson Page 2

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______________________________________________________________________________________
SURVIVORS
Children and Spouses: __________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Brothers and Sisters:____________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Grandchildren:________________________________________________________________________
______________________________________________________________________________________
Number: _______Grandchildren ______Great-Grandchildren _____Great-Great-Grandchildren
Other Survivors: _______________________________________________________________________
______________________________________________________________________________________
Preceded in death by: ___________________________________________________________________
______________________________________________________________________________________
Visitation Date, Time, Place ______________________________________________________________
______________________________________________________________________________________
Service Information ____________________________________________________________________
______________________________________________________________________________________
Officiating ____________________________________________________________________________
Memorial Contributions ________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

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