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5 months ago

Last Day Planner_NEW_PIC_2018

_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Spouse’s Personal Effects (if different) At the discretion of my executor or next of kin, I suggest that the distribution of my personal effects (not covered in my will) be as follows (what it is and who is to receive it): Item(s) Person to receive _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 26

Body or Organs to be Donated: Funeral and Burial Preferences (Husband) Yes (indicate specific organs NOT to be donated, if any) __________________________ No (see Health Care Durable Power of Attorney, or Health Care Directive) Preferred mortuary:_______________________________________________________ City: __________________________________________________________________ State:__________________________________________________________________ Place of Service:_________________________________________________________ Church:________________________________________________________________ Mortuary Chapel:________________________________________________________ Church or Denomination:__________________________________________________ Person to be in Charge of Final Arrangements:_____________________________ (see Health Care Durable Power of Attorney, or Health Care Directive) Relationship:____________________________________________________________ Telephone:______________________________________________________________ Description of Services Desired:___________________________________________ _______________________________________________________________________ _______________________________________________________________________ Special Readings or Music:_______________________________________________ Service to be Conducted by:_______________________________________________ Relationship:____________________________________________________________ Telephone:______________________________________________________________ Internment Requests I prefer: Earth burial Cremation Mausoleum Name of Cemetery: City:___________________________________________________________________ State:__________________________________________________________________ ( ) I have reserved facilities (attach deed, and/or, other paperwork) ( ) I have not reserved facilities 27

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