Please type all information and verify spellings and dates.
Name of deceased
Give each man's given name, initial, and family name as he was known, and give each woman's name and initial, (maiden name), and married name. Separate the family members' names with commas.
The family member components listed below are the only family members we list due to space constraints. Aunts and uncles, nieces and nephews, and cousins are not listed. Also, space does not permit listing the city where each surviving member lives.
Please select one of the following.