Obituaries

Jennifer Kirchmier
B: 1958-12-19
D: 2020-03-19
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Kirchmier, Jennifer
Amelia Rhodes
B: 1946-05-27
D: 2020-03-19
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Rhodes, Amelia
Steven Beecham
B: 1964-05-08
D: 2020-03-15
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Beecham, Steven
Anthony Daniels
B: 1980-01-19
D: 2020-03-14
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Daniels, Anthony
David Lohr
B: 1941-09-22
D: 2020-03-12
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Lohr, David
Daniel Presnell
B: 1967-03-23
D: 2020-03-02
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Presnell, Daniel
Nicolas Abenir
B: 1993-07-10
D: 2020-02-18
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Abenir, Nicolas
Jonathan Moody
B: 1978-11-22
D: 2020-02-18
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Moody, Jonathan
Connie Croom
B: 1949-08-19
D: 2020-02-14
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Croom, Connie
Nancy Carrier
B: 1957-03-04
D: 2020-02-13
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Carrier, Nancy
Mary Lyons
B: 1928-04-08
D: 2020-02-11
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Lyons, Mary
Ennis Starrette
B: 1939-04-06
D: 2020-02-09
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Starrette, Ennis
Steven Wynn
D: 2020-02-09
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Wynn, Steven
James Anthony
B: 1923-02-27
D: 2020-02-07
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Anthony, James
Frances Smith
B: 1948-07-06
D: 2020-02-06
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Smith, Frances
Mary Smith
B: 1940-08-24
D: 2020-02-06
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Smith, Mary
Edith Marsh
B: 1925-01-23
D: 2020-02-05
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Marsh, Edith
Norma Sanderlin
B: 1932-07-04
D: 2020-02-03
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Sanderlin, Norma
Richard Price
B: 1931-09-20
D: 2020-02-01
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Price, Richard
Jeffrey Dearborn
B: 1995-11-15
D: 2020-01-31
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Dearborn, Jeffrey
Diane Hinchey
B: 1930-05-13
D: 2020-01-30
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Hinchey, Diane

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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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