Obituaries

Sharon Harp
B: 1948-04-12
D: 2017-08-16
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Harp, Sharon
Michael Mendenhall
B: 1947-04-24
D: 2017-08-14
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Mendenhall, Michael
Dorothy Rork
B: 1922-03-11
D: 2017-08-14
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Rork, Dorothy
Judy Landon
B: 1964-06-05
D: 2017-08-13
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Landon, Judy
Bethel Holder
B: 1954-10-04
D: 2017-08-11
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Holder, Bethel
Daniel Juarez
B: 2011-01-13
D: 2017-08-10
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Juarez, Daniel
James Cone
B: 1954-10-01
D: 2017-08-09
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Cone, James
Frank Ramsey
B: 1944-11-22
D: 2017-08-08
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Ramsey, Frank
Robert Zamorano
B: 1943-06-24
D: 2017-08-08
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Zamorano, Robert
Doran Waugh
B: 1924-07-04
D: 2017-08-05
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Waugh, Doran
Imojean Marley
B: 1927-11-04
D: 2017-08-04
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Marley, Imojean
Lorraine Cox
B: 1925-12-21
D: 2017-08-04
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Cox, Lorraine
George Buche
B: 1927-03-30
D: 2017-08-03
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Buche, George
Cynthia Ward Skaggs
B: 1958-11-05
D: 2017-08-01
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Ward Skaggs, Cynthia
Bert White
B: 1930-11-27
D: 2017-08-01
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White, Bert
Jay Browning
B: 1968-07-30
D: 2017-08-01
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Browning, Jay
Ardellee Coons
B: 1926-09-16
D: 2017-08-01
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Coons, Ardellee
Phillip Fisher
B: 1937-05-25
D: 2017-07-31
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Fisher, Phillip
Doris Ahrens
B: 1935-03-22
D: 2017-07-31
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Ahrens, Doris
Winton Crown
B: 1921-04-07
D: 2017-07-30
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Crown, Winton
Diana Reel
B: 1958-12-04
D: 2017-07-30
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Reel, Diana

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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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