Obituaries

Ronald Pagel
D: 2018-07-19
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Pagel, Ronald
Leeila Behrend
D: 2018-07-17
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Behrend, Leeila
Dolores Gress
B: 1932-01-17
D: 2018-07-17
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Gress, Dolores
Carolyn Palmer
D: 2018-07-16
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Palmer, Carolyn
Conner Chilcote
D: 2018-07-13
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Chilcote, Conner
Bruce Duffalo
B: 1946-04-04
D: 2018-07-13
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Duffalo, Bruce
Gary Keniston
B: 1962-03-24
D: 2018-07-12
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Keniston, Gary
James Hartman
B: 1994-04-19
D: 2018-07-12
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Hartman, James
Lola Yule
D: 2018-07-11
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Yule, Lola
Floyd Smith
D: 2018-07-11
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Smith, Floyd
Robert Fristo
B: 1932-08-15
D: 2018-07-10
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Fristo, Robert
Janis Stirm
D: 2018-07-10
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Stirm, Janis
Richard Whitaker
D: 2018-07-09
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Whitaker, Richard
Patricia Barron
D: 2018-07-09
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Barron, Patricia
Ronald Stortz Jr.
D: 2018-07-08
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Stortz Jr., Ronald
Eugene Rishel
D: 2018-07-06
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Rishel, Eugene
Carter Dickinson
B: 1954-09-27
D: 2018-07-06
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Dickinson, Carter
Bennie Howard
D: 2018-07-06
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Howard, Bennie
Katherine Brod
D: 2018-07-06
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Brod, Katherine
Michel Simpson
D: 2018-07-05
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Simpson, Michel
Joseph Dorn
B: 1957-08-06
D: 2018-07-03
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Dorn, Joseph

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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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