Obituary/Article Request Form

The form below can be printed out and mailed to:


Osterhout Free Library

71 South Franklin Street

Wilkes-Barre PA 18701-1287


Osterhout Free Library Obituary/Article Research Form

Name of Patron:                                                                                                                      

Mailing Address:                                                                                                                     

                                                                                                                                               

                                                                                                                                               

                                                                                                                                               

Phone: _______________                                             Fax: _______________________

E-Mail: ______________________________________                                                                        

Date Information Is Needed By: _______________________                                                        

Name of Deceased: _________________________________                                                       

Date of Death of Desceased: __________________________                                              

Other Pertinent Information:

(Regarding obituary and/or article research) 

__________________________________________________                                        

___________________________________________________                                       

___________________________________________________                                       

Charges are $5.00 per obituary or article request with exact data. T.Lev2006

Below portion is to be filled out by staff.

Date Received: ____________                       Referred by: _____________

Patron Contacted: _________                         Could not locate: __________

Material Sent: ________________                 Charge: ______________