To submitt a certificate, index list, or funeral card:

SURNAME, Name
Cert#
Date of Death
age
gender
County of Death
Occ
Marital status
Place of Birth (May include the date)
Place of Death
Residence (Please include County if NOT the same as Death)
Burial if known
Father :SURNAME, Name & Nativity (Dates can be included)
Mother : (Maiden) SURNAME, Name & Nativity
Cause of death
Your email (if u would like to transfer material)
Source of material & or Notes you would like to include.

PLEAE NOTE: 
If you can scan the certificate, I can include that with the information you supply.

Send to: Nancy E Lutz



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