Obituaries

John Custer
B: 1929-12-12
D: 2018-09-18
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Custer, John
Ranko Manojlovic
B: 1965-08-20
D: 2018-09-18
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Manojlovic, Ranko
Robert Rozmus
B: 1954-09-16
D: 2018-09-18
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Rozmus, Robert
John Koehring
B: 1934-11-13
D: 2018-09-16
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Koehring, John
Lyndsey Berard
B: 1982-11-24
D: 2018-09-16
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Berard, Lyndsey
Josefina Dipasupil
B: 1956-08-27
D: 2018-09-15
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Dipasupil, Josefina
Deborah Valentine
B: 1956-12-17
D: 2018-09-13
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Valentine, Deborah
Debra Fulgham
B: 1960-11-21
D: 2018-09-13
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Fulgham, Debra
Edward Holmes
B: 1942-11-10
D: 2018-09-12
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Holmes, Edward
Katie Scott
B: 1929-04-16
D: 2018-09-12
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Scott, Katie
Heather Tudor
B: 1966-02-06
D: 2018-09-08
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Tudor, Heather
Lois Waters
B: 1923-09-20
D: 2018-09-07
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Waters, Lois
Linda Derringer
B: 1944-08-31
D: 2018-09-06
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Derringer, Linda
Thelma Reidy
B: 1933-02-26
D: 2018-09-06
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Reidy, Thelma
Josephine Duran
B: 1937-08-26
D: 2018-09-01
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Duran, Josephine
Yvonne Telfair
B: 1968-11-26
D: 2018-09-01
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Telfair, Yvonne
Robert Skipper
B: 1936-10-15
D: 2018-08-29
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Skipper, Robert
Emily Bautista
B: 2018-08-29
D: 2018-08-29
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Bautista, Emily
Ginny Sorrell
B: 1948-12-01
D: 2018-08-25
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Sorrell, Ginny
Nancy Long
B: 1923-10-06
D: 2018-08-14
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Long, Nancy
Esther Stofocik
B: 1929-01-14
D: 2018-08-13
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Stofocik, Esther

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
City of Birth:
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Highest Education Level:
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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

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

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