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 Paid Obituary Outline Form For the Clear Creek Courant, paid obituaries will be charged at a rate of $1.80 per column line. Including a photo of the deceased will cost an additional $10.00. Please use this as a guide while writing your loved one’s obituary. This is only a guide, feel free to add any additional content. When completed email to the email address below. Photo Yes / No *Email Photos (jpeg or tif format) 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: Former Town of Residence and number of years: Visitation Time, Day, Date: Location: Service / Mass/ Memorial Time, Day, Date: Location: Clergy: Place of Burial / Entombment / Inurnment: Biography, Education, Occupation, Hobbies (Use 2nd Page For Additional Biography) How many years married, where family members live. Family members and relationships (example: John Doe, husband or the late John Doe, father, etc.) : 1. 6. 2. 7. 3. 8. 4. 9. 5. 10. In lieu of flowers, memorial contributions to: 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