Obituaries

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
Jane Rouse
B: 1945-10-08
D: 2018-08-07
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Rouse, Jane
Joseph Falls
B: 1942-02-14
D: 2018-08-03
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Falls, Joseph
Margery Radigan
B: 1935-03-25
D: 2018-08-02
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Radigan, Margery
Roger Terry
B: 1935-06-15
D: 2018-08-02
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Terry, Roger
Rebecca Boggs
B: 1959-10-31
D: 2018-07-31
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Boggs, Rebecca
Patricia Montgomery
B: 1936-07-25
D: 2018-07-27
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Montgomery, Patricia
Nancy Kelly
B: 1950-09-19
D: 2018-07-23
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Kelly, Nancy
John Weinbrecht
B: 1925-07-31
D: 2018-07-19
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Weinbrecht, John
Oscar Selander
B: 1956-08-02
D: 2018-07-17
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Selander, Oscar
Stephanie Baker
B: 1973-06-30
D: 2018-07-13
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Baker, Stephanie
Margaret Woods
B: 1932-06-21
D: 2018-07-09
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Woods, Margaret
Joseph Wood
B: 1943-04-12
D: 2018-07-09
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Wood, Joseph
June Cleary
B: 1934-02-12
D: 2018-07-08
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Cleary, June
Alice Mullins
B: 1937-09-13
D: 2018-07-05
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Mullins, Alice
Kay Franck
B: 1939-07-20
D: 2018-06-26
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Franck, Kay
Scott Miller
B: 1967-01-08
D: 2018-06-24
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Miller, Scott
Jeanette Isaacs
B: 1952-06-27
D: 2018-06-21
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Isaacs, Jeanette
Matthew Portillo
B: 1982-01-24
D: 2018-06-17
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Portillo, Matthew
Donald Ross
B: 1960-04-28
D: 2018-06-16
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Ross, Donald

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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:
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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

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
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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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