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Last Day Planner_NEW_PIC_2018

Body or Organs to be

Body or Organs to be Donated: Funeral and Burial Preferences (Wife) 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 28

Obituary Information This biographical information will be of help in preparing an obituary news story about me____________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ My obituary should be sent to the following newspapers:_________________________ _______________________________________________________________________ _______________________________________________________________________ This biographical information will be of help in preparing an obituary news story about my spouse:_________________________________________________________________ _____ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ My spouse’s obituary should be sent to the following newspapers:__________________ _______________________________________________________________________ _______________________________________________________________________ 29

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