Obituaries

Phyllis Miller
B: 1917-08-22
D: 2018-04-18
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Miller, Phyllis
Donna Nungesser
B: 1958-09-17
D: 2018-04-17
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Nungesser, Donna
Keith Cox
B: 1932-12-16
D: 2018-04-17
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Cox, Keith
Anne Daum
B: 1935-02-10
D: 2018-04-15
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Daum, Anne
Cheryl Howland
B: 1950-04-07
D: 2018-04-14
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Howland, Cheryl
Linda Parker
B: 1947-02-26
D: 2018-04-13
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Parker, Linda
Lois Casey
B: 1952-09-10
D: 2018-04-13
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Casey, Lois
Teresita Demoret
B: 1947-02-14
D: 2018-04-12
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Demoret, Teresita
Matthew Klein
B: 1941-09-30
D: 2018-04-12
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Klein, Matthew
William Perkins
B: 1962-08-25
D: 2018-04-12
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Perkins, William
Judith Clark
B: 1944-06-26
D: 2018-04-12
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Clark, Judith
Robert Bishop
B: 1936-08-10
D: 2018-04-12
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Bishop, Robert
Mary Cowan
B: 1940-05-05
D: 2018-04-10
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Cowan, Mary
Virginia McMurphy
B: 1937-05-31
D: 2018-04-09
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McMurphy, Virginia
Leon Dunn
B: 1930-12-26
D: 2018-04-08
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Dunn, Leon
Willa Aldrich
B: 1922-09-13
D: 2018-04-07
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Aldrich, Willa
Sophia Smolinski
B: 1943-12-26
D: 2018-04-07
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Smolinski, Sophia
Lorene Landis
B: 1923-03-03
D: 2018-04-06
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Landis, Lorene
Dorothy Johnson
B: 1923-03-18
D: 2018-04-02
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Johnson, Dorothy
Erika Nestor
B: 1931-12-14
D: 2018-04-02
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Nestor, Erika
Jacqueline Phillips
B: 1957-10-14
D: 2018-04-02
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Phillips, Jacqueline

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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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