Obituaries

Jason Runnalls
B: 1974-03-10
D: 2018-06-19
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Runnalls, Jason
Roger Earnst
B: 1957-10-01
D: 2018-06-19
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Earnst, Roger
Ardene Swenson
B: 1928-10-06
D: 2018-06-18
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Swenson, Ardene
Evelyn Eisenman
B: 1933-08-31
D: 2018-06-18
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Eisenman, Evelyn
Richard Low
B: 1930-06-08
D: 2018-06-18
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Low, Richard
Gregory Huebert
B: 1957-08-10
D: 2018-06-18
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Huebert, Gregory
Anna Bahre
B: 1953-06-04
D: 2018-06-16
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Bahre, Anna
Lula Hendry
B: 1942-03-19
D: 2018-06-15
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Hendry, Lula
Betty Stevens
B: 1924-11-21
D: 2018-06-15
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Stevens, Betty
Virginia Kempher
B: 1923-01-05
D: 2018-06-12
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Kempher, Virginia
Tommie Lindsay
B: 1939-04-24
D: 2018-06-10
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Lindsay, Tommie
Dale Klish
B: 1940-11-28
D: 2018-06-10
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Klish, Dale
Genevieve Bankston
B: 1942-08-13
D: 2018-06-09
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Bankston, Genevieve
Michael Vargas
B: 1979-07-20
D: 2018-06-09
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Vargas, Michael
Kaelan Cooper
B: 1987-09-22
D: 2018-06-07
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Cooper, Kaelan
Doris McCuistion
B: 1926-02-20
D: 2018-06-06
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McCuistion, Doris
William Willard
D: 2018-06-06
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Willard, William
Lily Walker
B: 1926-07-23
D: 2018-06-05
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Walker, Lily
Rita Blecha
B: 1958-11-30
D: 2018-06-05
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Blecha, Rita
Ronald Hess
B: 1950-12-28
D: 2018-06-04
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Hess, Ronald
Leona Brockman
B: 1921-08-06
D: 2018-06-01
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Brockman, Leona

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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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