Obituaries

Dean Miller
B: 1933-06-24
D: 2017-06-23
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Miller, Dean
Kenneth Krouse
B: 1943-03-04
D: 2017-06-21
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Krouse, Kenneth
Hayden Wilson
B: 2017-06-20
D: 2017-06-20
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Wilson, Hayden
Anna True
B: 1938-03-10
D: 2017-06-20
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True, Anna
Jeffrey Smith
B: 1926-11-05
D: 2017-06-17
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Smith , Jeffrey
Betty Wilson
B: 1938-01-14
D: 2017-06-16
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Wilson, Betty
J. Joseph Gartland
B: 1937-09-30
D: 2017-06-16
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Gartland, J. Joseph
Mildred Shaw
B: 1932-12-23
D: 2017-06-15
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Shaw, Mildred
Russell Gosnell
B: 1923-03-03
D: 2017-06-14
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Gosnell , Russell
Brian Lawson
B: 1985-08-12
D: 2017-06-12
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Lawson, Brian
John Fulenwider
B: 1930-06-14
D: 2017-06-10
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Fulenwider , John
Charles McKinney
B: 1987-08-02
D: 2017-06-04
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McKinney, Charles
Christopher Earp
B: 1974-02-22
D: 2017-06-03
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Earp, Christopher
Anna Lovell
B: 1915-04-11
D: 2017-05-30
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Lovell, Anna
Katie Smith
B: 1992-08-12
D: 2017-05-28
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Smith, Katie
Margaret Thompson
D: 2017-05-24
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Thompson, Margaret
Michael Dotson
B: 1951-01-08
D: 2017-05-16
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Dotson, Michael
Jean Sirk
B: 1949-01-01
D: 2017-05-15
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Sirk , Jean
Barry Dahl
B: 1945-08-06
D: 2017-05-14
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Dahl, Barry
Robert Dunworth
D: 2017-05-10
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Dunworth, Robert
James Baker
B: 1980-12-16
D: 2017-05-10
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Baker, James

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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:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

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