Obituaries

Mason Nichols
B: 1941-08-29
D: 2021-01-11
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Nichols, Mason
Robert Alpaugh
B: 1943-10-20
D: 2021-01-09
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Alpaugh, Robert
Janice Grenier
B: 1952-05-15
D: 2021-01-01
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Grenier, Janice
James Burison
B: 1946-07-23
D: 2020-12-29
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Burison, James
Charles McCoy
B: 1934-06-29
D: 2020-12-28
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McCoy, Charles
Elleanor Ishmael
B: 1942-10-30
D: 2020-12-24
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Ishmael, Elleanor
Tam Huynh
B: 1937-12-20
D: 2020-12-23
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Huynh, Tam
Linda Bell
B: 1946-01-26
D: 2020-12-19
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Bell, Linda
Pjeter Meta
B: 1942-01-01
D: 2020-12-19
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Meta, Pjeter
Richard Knauss
B: 1939-06-12
D: 2020-12-16
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Knauss, Richard
George Jenkins
B: 1963-04-28
D: 2020-12-07
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Jenkins, George
Stephanie Cutter
B: 1977-07-04
D: 2020-12-06
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Cutter, Stephanie
Maltire O'Neal
B: 1945-09-04
D: 2020-12-04
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O'Neal, Maltire
Shayne Blose
B: 1988-09-10
D: 2020-12-04
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Blose, Shayne
Ronald Miller
B: 1945-07-04
D: 2020-12-03
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Miller, Ronald
Kenneth Butler
B: 1944-11-14
D: 2020-11-28
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Butler, Kenneth
Lisa Yarrington
B: 1964-07-08
D: 2020-11-24
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Yarrington, Lisa
Aymi Bonilla
B: 2000-03-09
D: 2020-11-24
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Bonilla, Aymi
Dale Oltarzewski
B: 1978-01-31
D: 2020-11-15
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Oltarzewski, Dale
Amelia Stadtmueller
B: 1923-07-16
D: 2020-11-14
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Stadtmueller, Amelia
Roy Davis
B: 1943-11-19
D: 2020-11-13
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Davis, Roy

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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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Please place my information on file