Obituaries

Elizabeth Fulton
D: 2017-11-16
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Fulton, Elizabeth
Sandra Templeton
D: 2017-11-15
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Templeton, Sandra
Ron Willis
D: 2017-11-15
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Willis, Ron
Dale Gyles
D: 2017-11-14
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Gyles, Dale
Louis Henes
B: 1958-07-01
D: 2017-11-14
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Henes, Louis
Max McVey
B: 1952-12-18
D: 2017-11-11
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McVey, Max
Judith Mason
D: 2017-11-11
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Mason, Judith
William Newell
D: 2017-11-10
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Newell, William
Paul Delaney
D: 2017-11-08
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Delaney, Paul
Robert Chalmers
B: 1941-12-24
D: 2017-11-08
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Chalmers, Robert
Vito Misale
D: 2017-11-07
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Misale, Vito
Christel Scott
D: 2017-11-06
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Scott, Christel
Hazel Carabine
B: 1929-08-22
D: 2017-10-30
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Carabine, Hazel
Gregory Triepke
B: 1964-05-02
D: 2017-10-29
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Triepke, Gregory
Glenn Hacker
D: 2017-10-27
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Hacker, Glenn
Jack Meenach
D: 2017-10-26
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Meenach, Jack
Shawna Wootan
D: 2017-10-25
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Wootan, Shawna
Judy Scott
D: 2017-10-24
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Scott, Judy
Beverly Janson
D: 2017-10-20
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Janson, Beverly
Katherine Warner
D: 2017-10-19
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Warner, Katherine
Clayton Meeks Sr
D: 2017-10-19
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Meeks Sr, Clayton

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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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