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QCC Deceased info
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* Indicates required question
Email
*
Your email
Name
*
1st & Middle as listed in the Obituary
Your answer
Last Name
*
Last Name as listed in the Obituary
Your answer
Birth date
*
MM/DD/YEAR We need this to publish. If unknown put 01/01/2000
MM
/
DD
/
YYYY
Death date
*
MM/DD/YEAR We need this to publish.
MM
/
DD
/
YYYY
Source
*
Where did the Information Come From
DailyCamera
Longmont Times
Denver Post
Family
Friends
Other:
Service?
*
Where did this person work?
IBM
Ricoh
Kyndryl
Other:
SS?
Is there a spouse?
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No
Unknown
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Comments
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