Obituaries

Dallas Marler
B: 1931-06-25
D: 2017-07-23
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Marler, Dallas
Otelia Murphy
B: 1928-09-30
D: 2017-07-23
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Murphy, Otelia
Eugene Shebesh
D: 2017-07-23
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Shebesh, Eugene
Eric Becker
D: 2017-07-22
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Becker, Eric
Madelyn Reyes
D: 2017-07-21
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Reyes, Madelyn
James Herz
B: 1946-08-15
D: 2017-07-20
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Herz, James
Allen Kallis
B: 1956-02-26
D: 2017-07-19
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Kallis, Allen
Trenton Johnson
D: 2017-07-19
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Johnson, Trenton
Steven Paul
B: 1951-03-23
D: 2017-07-19
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Paul, Steven
Samuella Winters
D: 2017-07-19
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Winters, Samuella
Simone Ellis
D: 2017-07-18
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Ellis, Simone
Donald Burnham
D: 2017-07-16
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Burnham, Donald
Carli Miller
B: 2009-02-19
D: 2017-07-16
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Miller, Carli
Mary Tyvand
D: 2017-07-16
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Tyvand, Mary
Carlynn Brownlee
D: 2017-07-15
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Brownlee, Carlynn
Geraldine Lanky
B: 1923-11-10
D: 2017-07-15
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Lanky, Geraldine
Bernice Mobley
D: 2017-07-11
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Mobley, Bernice
Mary Cooper
B: 1935-07-10
D: 2017-07-10
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Cooper, Mary
Jim Osborn
B: 1954-06-18
D: 2017-07-10
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Osborn, Jim
Marjorie Heyman
B: 1955-12-20
D: 2017-07-10
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Heyman, Marjorie
Bradford Greene
B: 1948-01-13
D: 2017-07-10
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Greene, Bradford

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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:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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