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

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