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CHAPLAIN'S REPORT OF DECEASED MEMBERS
It is with deep regret that I inform you of the death of Sister
, who went to her heavenly home on
.
(Month, Day, Year)
Auxiliary Number:
District Number:
Submitter's Information
or
Print and mail to:
Danetta Wakefield, Department Chaplain
P.O. Box 163
Verona, MO 65759
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