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Thursday, May 26, 2016

Older birthday form
Preferred publication date
Required
Picture
Required
Yes
No
Photo submissionUpload with form
Email
US mail
Drop at office
Upload photo
Name
Required
City, state
Age
Required
How celebrating
Date and time of celebration
Location of celebration (including city and state)
Friends and family invitedYes
No
Actual birthday (month, date, year)
Required
Place of birth (city, state)
Parents' names
Spouse (Use wife's maiden name)
Date and location of marriage (include city and state)
If spouse is deceased, date deceased
Occupation (specify if retired or currently working)
Hobbies, memberships, etc.
Children including city, state (May include spouses)
Number of grandchildren
Number of great-grandchildren
Number of great-great-grandchildren
Contact person and number in case of further questions
     


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The Observer • Founded in 1864
“Pledged but to truth, liberty, and law;
no favors win us and no fears shall awe.”

512 Seventh St., PO Box 49, DeWitt, IA 52742 • 563-659-3121
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