Sally Hammond
D: 2018-03-12
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Hammond, Sally
Rebeecca Parks
D: 2018-03-11
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Parks, Rebeecca
Lula Waddington
D: 2018-03-10
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Waddington, Lula
Lynn Halverson
D: 2018-03-09
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Halverson, Lynn
Harold Bauman
D: 2018-03-08
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Bauman, Harold
Michael Wolfersberger
D: 2018-03-07
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Wolfersberger, Michael
Jean Miller
B: 1925-11-13
D: 2018-03-02
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Miller, Jean
John Beal
D: 2018-02-25
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Beal, John
Stanley Prazma
D: 2018-02-22
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Prazma, Stanley
Deborah Noble
B: 1952-11-03
D: 2018-02-21
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Noble, Deborah
Charles Mills
D: 2018-02-17
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Mills, Charles
David Larson
B: 1939-06-21
D: 2018-02-12
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Larson, David
Mary Hamilton
D: 2018-02-11
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Hamilton, Mary
Marleen Bain
B: 1943-03-20
D: 2018-02-05
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Bain, Marleen
Leona Gudmunson
D: 2018-02-04
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Gudmunson, Leona
Amber Sanborn
D: 2018-02-04
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Sanborn, Amber
Douglas Robert
D: 2018-02-01
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Robert, Douglas
Dale Poff
D: 2018-01-26
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Poff, Dale
Carol Sutherland
B: 1943-08-08
D: 2018-01-21
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Sutherland, Carol
Suzanne Hoell
B: 1952-11-22
D: 2018-01-20
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Hoell, Suzanne
Brian Hall
B: 1961-10-21
D: 2018-01-19
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Hall, Brian


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I. Biographical Information
Full Name:
Date of Death:
City Name:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
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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
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

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:
Person in Charge of Arrangements:
Officiating Clergy:
Flower Preference:
Music Selection:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

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