Obituaries

Judith Wheeler
B: 1942-02-13
D: 2019-07-13
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Wheeler, Judith
Doreen Rivera
B: 1961-07-21
D: 2019-07-05
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Rivera, Doreen
Geraldine Kempster
B: 1965-01-18
D: 2019-06-26
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Kempster, Geraldine
Lynda Mitchell
B: 1945-07-24
D: 2019-06-22
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Mitchell, Lynda
Charles Downing
D: 2019-06-20
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Downing, Charles
Dean Bell
D: 2019-06-15
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Bell, Dean
Kenneth Church
D: 2019-06-13
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Church, Kenneth
Patricia Mixon
D: 2019-06-10
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Mixon, Patricia
Edward Sharp
D: 2019-06-05
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Sharp, Edward
Douglas Hardy
B: 1929-12-15
D: 2019-05-31
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Hardy, Douglas
Terry Nale
D: 2019-05-20
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Nale, Terry
Rosita Macasieb
B: 1935-11-23
D: 2019-05-17
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Macasieb, Rosita
Jeanne Hansen
D: 2019-05-13
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Hansen, Jeanne
Kathleen Ware
B: 1946-04-04
D: 2019-05-08
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Ware, Kathleen
William Black
D: 2019-04-30
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Black, William
Steven Sokolowski
D: 2019-04-30
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Sokolowski, Steven
Edward Hurley
B: 1925-05-01
D: 2019-04-30
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Hurley, Edward
Tammy Peco
D: 2019-04-29
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Peco, Tammy
Eugene Dahlke
D: 2019-04-28
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Dahlke, Eugene
David Cook
B: 1962-04-20
D: 2019-04-20
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Cook, David
Suzanne Nonnemaker
B: 1943-03-28
D: 2019-04-16
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Nonnemaker, Suzanne

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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:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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