Obituaries

Joyce Keniston
D: 2017-04-23
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Keniston, Joyce
Mary Lu Schmidt
B: 1937-04-21
D: 2017-04-22
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Schmidt, Mary Lu
Delores Ellifritz
D: 2017-04-21
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Ellifritz, Delores
William Wilmerton
D: 2017-04-20
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Wilmerton, William
Len Masterson
B: 1955-06-01
D: 2017-04-19
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Masterson, Len
James Waters
D: 2017-04-17
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Waters, James
Jeanne Auen
D: 2017-04-16
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Auen, Jeanne
Daniel Harkins
D: 2017-04-13
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Harkins, Daniel
Kenneth Nield
B: 1957-06-01
D: 2017-04-12
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Nield, Kenneth
Raymond Corro
D: 2017-04-11
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Corro, Raymond
Bruce Hill
B: 1962-04-24
D: 2017-04-10
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Hill, Bruce
Jean Cooper
D: 2017-04-09
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Cooper, Jean
Joanne Tingle
D: 2017-04-08
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Tingle, Joanne
George Caras
B: 1924-00-00
D: 2017-04-07
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Caras, George
Raymone Meyer
B: 1954-11-01
D: 2017-04-05
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Meyer, Raymone
Chris Hanson
B: 1967-00-00
D: 2017-04-04
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Hanson, Chris
Francis Vaughan
B: 1929-06-16
D: 2017-04-02
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Vaughan, Francis
Grace Collins
B: 1930-10-29
D: 2017-04-02
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Collins, Grace
Joyce Montreuil
D: 2017-04-02
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Montreuil, Joyce
Bonnie Faust
D: 2017-04-01
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Faust, Bonnie
Jesse Pierce
B: 1918-05-07
D: 2017-03-31
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Pierce, Jesse

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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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