Obituary Submissions

Funeral Service for: First Middle and Last Name *

Age * (Enter a number)

Hometown *

Service Date * (Type none or pending, as applicable)

Service Location *

Service City and State *

Burial will be at ... * (Name of location, city, state.)

Birth Date and Birth Location *

Date, city and state he/she passed away *

His/her Clan, born for *

Nali Clan *

Cheii Clan *

Education

Employment

Interests and Hobbies

Name of surviving spouse (if any)

Name of surviving children (if any)

Name of surviving parents (if any)

Name of surviving brothers and sisters (if any)

Name of surviving grandparents (if any)

Number of grandchildren

Number of great-grandchildren

Preceded in death by

Pallbearers

Honorary Pallbearers

Reception will be held at

Contact name for this submission *

Contact Phone *

Contact Email

Contact address * (Street or PO Box), City, State and ZIP Code

Check the following box to certify you are submitting a valid obituary notice. * Check the following box to certify you are submitting a valid obituary notice. * I certify this submission is valid.

Funeral home name *

Funeral home phone number *