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Work & Education
Occupation:
Kind of Company
Business: Name:
Military Information
Branch of Service: Army Navy Air Force
Serial No:
Date Enlisted: Date Discharged:
Rank at Discharge on
Discharge: File at:
Funeral Service Information
Place of Service: Church Cemetery Other
I prefer the Funeral Service to be: Public Private
Viewing for Family: Yes No Viewing for Friends:Yes No
Religious Denomination:
Place of Worship:
Lodge or Union:
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