Age:


Of: (City or Town)

A resident for years

At: (place of death)

Birth Location:

Parents:

Occupation:

Worked For:

Location of Workplace:

He/She was with the company for years.

Retired in

He/She was educated in (town/location)

Graduated from(high school)

Graduated from(college)

With a Degree

He/She was a veteran and served (give branch of service and war or time served)

He/She was a member of these organizations

He/She will be remembered for: (personal qualities, talents and interests):

He/she is survived by: (family members, relationship, and city/state):

( Family Members who died earlier include: (name, relationship and year of death):

Calling Hours will be at CLARK ASSOCIATES FUNERAL HOME, Katonah, NY on:

The funeral service will be held at:

On:(date)

Interment will be:

Contributions in memory may be made to:(name & address of organization)