| Obituary Notice |

As a service to the Catholic community, The Catholic Northwest Progress, with assistance from Associated Catholic Cemeteries, will print the obituarties of Catholics whose funerals are held in archdiocesan parishes. They will be printed free of charge on a space available basis.
* Fields marked with an asterisk are required |
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| *Name of Deceased | | | |
| *Gender | | | |
| *Marital Status | | | |
| Maiden Name (if female) | | | |
| *Birth Date | | | |
| *Place of Birth | | | |
| *Date of Death | | | |
| *Place of Death | | | |
| Cause of Death | | | |
| *City of Residence | | | |
| *Length of Residence | | | |
| *Years Resided in WA | | | |
| Moved From | | | |
| Education (Where and When) | | | |
| Military Service (Branch, Rank, When) | | | |
| Occupation and Employer | | | |
| Date of Retirement | | | |
| *Parish Name and Activities | | | |
| Memberships/Organizations/Unions | | | |
| Community/Volunteer Involvement | | | |
| Pastimes | | | |
| Spouse | | | |
| Sons | | | |
| Daughters | | | |
| Brothers (Living) | | | |
| Sisters (Living) | | | |
| Parents (Living) | | | |
| Number of Grandchildren | | | |
| Number of Great-grandchildren | | | |
| Number of Great-great-grandchildren | | | |
| Preceded in Death (immediate family) | | | |
| Vigil (date, time, location) | | | |
| Funeral Mass (date, time, location) | | | |
| Interment (cemetary, location) | | | |
| *Your Name | | | |
| *Relationship to Deceased | | | |
| *How many complimentary copies of The Progress would you like? | | | |
| *Your Address | | | |
| *Your Telephone | | | |
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