Obituaries

Shirley Hollenback
B: 1929-07-02
D: 2018-05-15
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Hollenback, Shirley
Edward Sieminski
D: 2018-05-15
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Sieminski, Edward
Robert Hayes
D: 2018-05-14
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Hayes, Robert
George Hughes
B: 1922-11-01
D: 2018-05-14
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Hughes, George
Edward Pribyl Jr.
B: 1949-02-27
D: 2018-05-14
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Pribyl Jr., Edward
Donald Warner
B: 1950-09-29
D: 2018-05-13
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Warner, Donald
Frank Matule
D: 2018-05-12
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Matule, Frank
Chari Lipski
B: 1945-10-17
D: 2018-05-12
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Lipski, Chari
Allan Evans
B: 1933-11-16
D: 2018-05-11
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Evans, Allan
Harry Hoiland
B: 1944-05-27
D: 2018-05-11
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Hoiland, Harry
Gloria Jones
D: 2018-05-10
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Jones, Gloria
William Lefler
B: 1951-07-28
D: 2018-05-08
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Lefler, William
Susan Egeland
D: 2018-05-04
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Egeland, Susan
Glenna Reish
B: 1930-02-16
D: 2018-05-02
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Reish, Glenna
Robert Hoffman
B: 1931-04-30
D: 2018-05-01
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Hoffman, Robert
Adam Bullions
D: 2018-05-01
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Bullions, Adam
Richard Raymond
B: 1955-12-29
D: 2018-04-30
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Raymond, Richard
Howard Harper
B: 1947-07-15
D: 2018-04-28
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Harper, Howard
Carol Meisinger
D: 2018-04-27
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Meisinger, Carol
Marjorie Garden
B: 1932-07-19
D: 2018-04-27
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Garden, Marjorie
William McCampbell
D: 2018-04-24
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McCampbell, William

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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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