Submit Death/Burial Info

Your Name:*
Email address:*
Event:*DeathInterment Name of Deceased:*
Date of Death:*
Date of Interment:
Location of Death:
Location of Interment:
Name of Spouse: Residence at Time of Death:
Name of Father: Names of Children:
Name of Mother: Names of Siblings:
Source of Information:
Vital Records 
Published Works (newspaper,etc)

Personal Knowledge
Other (please specify):

Other Pertinent Info:

* = required field. Your info will not be posted if these are left blank.

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