Obituaries

Robert Bookhultz
B: 1986-06-01
D: 2017-12-05
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Bookhultz, Robert
Waddell Sims
B: 1934-01-25
D: 2017-12-03
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Sims, Waddell
Anna Fertitta
B: 1940-06-20
D: 2017-11-29
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Fertitta, Anna
Robert Davis
B: 1938-03-16
D: 2017-11-28
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Davis, Robert
Ronald Green
B: 1946-09-25
D: 2017-11-24
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Green, Ronald
W. Stanley Burdette
B: 1933-05-07
D: 2017-11-22
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Burdette, W. Stanley
Emma Brantley
B: 1926-07-08
D: 2017-11-21
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Brantley, Emma
Franklin Russell
B: 1936-07-29
D: 2017-11-21
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Russell, Franklin
Judith Baker
B: 1943-02-22
D: 2017-11-17
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Baker, Judith
Wayne Wagner
B: 1942-02-24
D: 2017-11-16
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Wagner , Wayne
Glenna Berry
B: 1943-05-15
D: 2017-11-16
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Berry, Glenna
Robert Burch
B: 1937-03-24
D: 2017-11-11
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Burch, Robert
Charlotte Brant
B: 1926-09-03
D: 2017-11-08
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Brant, Charlotte
Sandra Engles
B: 1943-09-25
D: 2017-11-05
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Engles, Sandra
Norma Dennis
B: 1937-10-16
D: 2017-11-03
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Dennis, Norma
Paul Baker
B: 1927-07-06
D: 2017-11-02
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Baker, Paul
Kathleen Fries
B: 1911-11-18
D: 2017-10-31
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Fries, Kathleen
Marcie Hart
B: 1963-10-22
D: 2017-10-28
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Hart, Marcie
Patricia Kemp
B: 1939-04-03
D: 2017-10-26
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Kemp, Patricia
John Kirkwood
B: 1990-06-27
D: 2017-10-23
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Kirkwood, John
Ethel Wanzer
B: 1921-09-07
D: 2017-10-16
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Wanzer, Ethel

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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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