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 | |