Hegmann Funeral Service, Inc. P.O. Box 2017 Idaho Springs, CO 80452 (303) 567-4323 (303) 567-0121 Fax hegmannfs@msn.com www.hegmannfuneral.com Free Obituary Outline Form Please use this as a guide while writing your loved one’s obituary. When completed email to the email address below. *Email to: chrishegmann@hegmannfuneral.com Complete Name of Deceased: Maiden Name: Date of Birth: Place of Birth: Date of Death: Age: Place of Death: Town of Residence and number of years: Visitation Time, Day, Date: Location: Service / Mass/ Memorial Time, Day, Date: Location: Place of Burial / Entombment / Inurnment: Name of Parents: Names of survivors in immediate family. If no immediate family survive, predeceased members of the immediate family may be listed. 1. 6. 2. 7. 3. 8. 4. 9. 5. 10. Name, relationship and phone number of person completing this form: Arrangements handled by: Hegmann Funeral Service Inc., P.O. Box 2017, Idaho Springs, Colorado 80452 (303) 567-4323