Request for Copy of an Obituary

Complete this form, print it out, and send it with your check for $5.00 to:                        

Barnard Public Library

521 Elm Street

LaCrosse, KS 67548

Payment Information

Amount of Check

Query Information

Enter exact name of individual:

Enter exact death date:

Enter newspaper date:

Enter name of newspaper

Customer Information

First Name

Last Name

Address

City

State

Zip Code

Phone

Fax

E-Mail