Obituaries

Martha Wright
B: 1931-08-15
D: 2017-12-08
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Wright, Martha
Dorothy Anderson
B: 1933-06-30
D: 2017-12-08
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Anderson, Dorothy
Marjorie Moody
B: 1927-01-11
D: 2017-12-08
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Moody, Marjorie
Daniel Kymer
B: 1965-06-08
D: 2017-12-07
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Kymer, Daniel
Ronald Harris
B: 1954-01-16
D: 2017-12-06
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Harris, Ronald
LaVeta Garner
B: 1924-07-14
D: 2017-12-06
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Garner, LaVeta
Ethel Fowler
B: 1936-08-27
D: 2017-12-03
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Fowler, Ethel
Lois Black
B: 1928-03-09
D: 2017-12-02
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Black, Lois
Roger Morris
B: 1953-11-01
D: 2017-12-01
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Morris, Roger
Ellen Bell
B: 1938-02-11
D: 2017-11-29
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Bell, Ellen
Robert McHenry
B: 1937-10-16
D: 2017-11-28
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McHenry, Robert
Virginia Alley
B: 1928-12-05
D: 2017-11-27
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Alley, Virginia
Nelia Whitman
B: 1942-11-07
D: 2017-11-26
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Whitman, Nelia
Marc Wescoat
B: 1975-07-23
D: 2017-11-26
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Wescoat, Marc
Janice Carter
B: 1934-01-19
D: 2017-11-23
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Carter, Janice
Leonerdus Inkelaar
B: 1943-09-24
D: 2017-11-22
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Inkelaar, Leonerdus
Joyce Loper
B: 1931-10-22
D: 2017-11-22
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Loper, Joyce
Gary Baker
B: 1938-09-07
D: 2017-11-22
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Baker, Gary
Eleanor Bloom
B: 1936-04-05
D: 2017-11-21
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Bloom, Eleanor
Pamela Franklin
B: 1955-02-02
D: 2017-11-20
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Franklin, Pamela
Jada Marie Rausch
B: 1949-01-16
D: 2017-11-18
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Rausch, Jada Marie

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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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