1317 Poyntz Avenue, Manhattan, KS 66502
Phone: (785) 537-2110    Fax: (785) 537-2535
~ Locally Owned Since 1898 ~
Home
About Us
Obituaries
Planning Ahead
  • Service Planning
  • Helpful Information
    • Florists
    Monument Sales
    Map -- Directions
    Contact Us

    Funeral Service Guide

    This form has been prepared to assist you during this time of need. We have included many of the details that will need your attention.

    We will be glad to notify your clergyperson so that schedules can be coordinated and verified before you make long distance phone calls to relatives and friends. We will assist you with the arranging of special music, selection of your cemetery lot if needed, and many other details.

    The form will also provide the necessary information needed to complete the certificate of death, Social Security form, and for the obituary notices that will be placed on the radio and in the newspapers.

    Name

    Mailing Address

    County

    Age

    City or Town

    State


    Date of Birth

    Level of Education

    Life History

    Place of Death

    Place of Birth

    Occupation

    Date of Death

    Cemetery


    Father

    Spouse

    Place of Marriage

    Brothers, Sisters, Spouses and Addresses

    Number of Great Grandchildren

    Other Survivors

    Mother (including maiden name)

    Date of Marriage

    Children, Spouses and Addresses

    Names of Grandchildren

    Number of Great Great Grandchildren

    Deceased Family Members


    Please list the Casket Bearers you wish to have for this service. Also, please include their telephone numbers.

    Casket Bearer 1

    Casket Bearer 3

    Casket Bearer 5

    Minister

    Casket Bearer 2

    Casket Bearer 4

    Casket bearer 6

    Music


    Submitter's Name

    Submitter's Daytime Phone

    Submitter's Email

    Submitter's Evening Phone


    Press the button below to submit all entered data.

     
     
    KFDA
    Kansas Funeral
    Directors Association     		NFDA
    National Funeral
    Directors Association