Obituaries

June Fisher
B: 1933-06-26
D: 2017-08-14
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Fisher, June
Catherine Smith
B: 1929-04-13
D: 2017-08-10
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Smith, Catherine
Barbara Carmichael
B: 1934-09-26
D: 2017-08-03
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Carmichael, Barbara
Aubrey Kirkpatrick
B: 1935-05-26
D: 2017-08-03
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Kirkpatrick, Aubrey
Kathryn Thompson
B: 1932-09-24
D: 2017-07-31
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Thompson, Kathryn
Kathleen Edelburg
B: 1932-01-06
D: 2017-07-26
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Edelburg, Kathleen
David Holland
B: 1985-12-09
D: 2017-07-21
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Holland, David
Ronald Parker
B: 1954-04-08
D: 2017-07-10
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Parker, Ronald
Martin Fritsch
B: 1931-04-14
D: 2017-07-05
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Fritsch, Martin
June Sydow
B: 1926-06-30
D: 2017-06-29
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Sydow, June
Richard Macey
B: 1924-08-07
D: 2017-06-26
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Macey, Richard
Hazel Bendfeldt
B: 1923-07-02
D: 2017-06-18
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Bendfeldt, Hazel
Douglas Terry
B: 1942-05-01
D: 2017-06-15
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Terry, Douglas
Robert Smith
B: 1952-12-02
D: 2017-06-14
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Smith, Robert
Gary Wilson
B: 1941-04-09
D: 2017-06-12
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Wilson, Gary
Earl Sherwood
B: 1924-01-04
D: 2017-06-04
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Sherwood, Earl
Tina Merkys
B: 1956-02-06
D: 2017-06-03
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Merkys, Tina
Holly Wilner
B: 1966-10-18
D: 2017-06-02
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Wilner, Holly
Dale Barnhart
B: 1935-10-05
D: 2017-05-28
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Barnhart, Dale
James Jennings
B: 1927-03-15
D: 2017-05-27
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Jennings, James
Lois Henderson
B: 1926-09-18
D: 2017-05-22
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Henderson, Lois

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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