Obituaries

Alan Hart
D: 2018-08-15
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Hart, Alan
Robert Erwin
B: 1936-11-12
D: 2018-08-14
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Erwin, Robert
Karen Ward
D: 2018-08-12
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Ward, Karen
Barbara Watt
D: 2018-08-11
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Watt, Barbara
Bernice Smith
D: 2018-08-09
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Smith, Bernice
F.A. Riebe
B: 1922-02-28
D: 2018-08-09
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Riebe, F.A.
Carylon Ring
D: 2018-08-09
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Ring, Carylon
Tim Green
B: 1942-09-15
D: 2018-08-04
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Green, Tim
Robert Miller
D: 2018-08-01
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Miller, Robert
Edward Heilman
B: 1929-03-25
D: 2018-07-29
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Heilman, Edward
Kenneth Kaighn
B: 1930-04-18
D: 2018-07-27
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Kaighn, Kenneth
Juanita Stroumbaugh
D: 2018-07-20
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Stroumbaugh, Juanita
Audrey Parenteau
B: 1941-09-27
D: 2018-07-20
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Parenteau, Audrey
Jack Swensen
D: 2018-07-20
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Swensen, Jack
Bryan Korzeniewdki
D: 2018-07-19
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Korzeniewdki, Bryan
Randolph Dodson
D: 2018-07-17
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Dodson, Randolph
John Mitchell
B: 1928-07-18
D: 2018-07-17
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Mitchell, John
George Evans
D: 2018-07-15
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Evans, George
Carol Remington
D: 2018-07-08
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Remington, Carol
Tom Furcht
D: 2018-07-06
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Furcht, Tom
Cynthis Forest
D: 2018-06-27
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Forest, Cynthis

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Phone: 406-543-5595
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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:

Miscellaneous Notes and Instructions:

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