Obituaries

Father Joe Moran
D: 2017-05-26
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Moran, Father Joe
Mary Harrington
D: 2017-05-24
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Harrington, Mary
Wayne Cooper
D: 2017-05-23
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Cooper, Wayne
Jacob Nicklawsky
B: 1987-11-10
D: 2017-05-22
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Nicklawsky, Jacob
James Castor
D: 2017-05-21
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Castor, James
Leona Dunsmore
D: 2017-05-20
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Dunsmore, Leona
Merl Sage
B: 1946-01-03
D: 2017-05-20
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Sage, Merl
Don Brown
B: 2017-05-20
D: 2017-05-20
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Brown, Don
Lucille Sansom
D: 2017-05-18
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Sansom, Lucille
Donald Howard
B: 1950-02-21
D: 2017-05-17
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Howard, Donald
Roger Verworn
B: 1946-09-28
D: 2017-05-15
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Verworn, Roger
Michael Curran
B: 1951-03-13
D: 2017-05-14
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Curran, Michael
Lloyd Marshall
D: 2017-05-13
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Marshall, Lloyd
Cecelia Cox
D: 2017-05-13
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Cox, Cecelia
Jean Skelton
D: 2017-05-12
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Skelton, Jean
David Towe
B: 1958-06-09
D: 2017-05-11
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Towe, David
Blanche Wheeler
B: 1924-05-30
D: 2017-05-10
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Wheeler, Blanche
Ralph Thisted
B: 1925-11-12
D: 2017-05-09
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Thisted, Ralph
Jane Ragsdale
B: 1929-04-29
D: 2017-05-08
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Ragsdale, Jane
Jennie Comer
D: 2017-05-07
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Comer, Jennie
Antonne Daniels
B: 1963-11-11
D: 2017-05-07
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Daniels, Antonne

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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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