Obituaries

James Aiken
D: 2017-06-22
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Aiken, James
Richard Davis
D: 2017-06-21
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Davis, Richard
Brad Wonnacott
B: 1953-09-12
D: 2017-06-19
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Wonnacott, Brad
Vera Moore
B: 1941-09-20
D: 2017-06-17
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Moore, Vera
Payson Goodwin
D: 2017-06-16
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Goodwin, Payson
Geniece Jensen
D: 2017-06-16
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Jensen, Geniece
Janice Lopach
B: 1944-07-12
D: 2017-06-14
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Lopach, Janice
Deborah Alteneder
B: 1994-08-24
D: 2017-06-13
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Alteneder, Deborah
Becky Eamon
B: 1955-10-22
D: 2017-06-12
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Eamon, Becky
Carol Coats
B: 1927-06-16
D: 2017-06-09
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Coats, Carol
Leo Dufresne
B: 1923-09-09
D: 2017-06-07
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Dufresne, Leo
Floyd Brady
B: 1935-02-13
D: 2017-06-06
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Brady, Floyd
Charles Salter
B: 1930-08-12
D: 2017-06-05
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Salter, Charles
Helen Bourlakas
B: 1929-09-22
D: 2017-06-04
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Bourlakas, Helen
Eugene Hemgren
B: 1940-02-11
D: 2017-06-02
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Hemgren, Eugene
Dolores Monismith
D: 2017-06-01
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Monismith, Dolores
Billy Lankford
B: 1924-10-18
D: 2017-06-01
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Lankford, Billy
Warren Herman
D: 2017-05-31
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Herman, Warren
Glen Reeves, Sr.
D: 2017-05-30
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Reeves, Sr., Glen
Kathleen Gray
D: 2017-05-28
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Gray, Kathleen
Melvin Rice
B: 1927-08-16
D: 2017-05-27
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Rice, Melvin

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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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