Obituaries

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
Evaleen Leon
B: 1920-10-07
D: 2017-05-07
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Leon, Evaleen
Wesley Zimmerli
B: 1960-08-07
D: 2017-05-04
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Zimmerli, Wesley
Frances Black
B: 1951-06-21
D: 2017-05-03
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Black , Frances
Frank Diez
B: 1932-03-21
D: 2017-05-02
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Diez , Frank
Yuhlon Wilson
B: 1924-08-15
D: 2017-05-01
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Wilson, Yuhlon
W. Russell Fleming
B: 1929-06-25
D: 2017-05-01
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Fleming, W. Russell
Daniel Holden
B: 1950-12-05
D: 2017-04-29
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Holden , Daniel
Hayley Caltrider
B: 2015-05-06
D: 2017-04-29
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Caltrider, Hayley
Robert Lynch
B: 1943-07-17
D: 2017-04-27
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Lynch, Robert
Robert Ziehm
B: 1933-12-06
D: 2017-04-25
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Ziehm , Robert
Daniel Boone
B: 1932-08-04
D: 2017-04-23
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Boone, Daniel
William Kohlhepp
B: 1973-01-08
D: 2017-04-22
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Kohlhepp , William
Moses Nelson
B: 1929-07-24
D: 2017-04-21
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Nelson, Moses
John Hubbard
B: 1978-03-25
D: 2017-04-20
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Hubbard, John
Dorothy Anderson
B: 1922-09-02
D: 2017-04-17
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Anderson , Dorothy
John McFarland
B: 1932-06-24
D: 2017-04-17
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McFarland, John

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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:

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