Obituaries

Robert Mikeska
B: 1942-04-18
D: 2019-03-21
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Mikeska, Robert
Patricia Koehler
D: 2019-03-20
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Koehler, Patricia
Edward McInnis, Sr.
D: 2019-03-19
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McInnis, Sr., Edward
Mary Earnest
B: 1932-02-26
D: 2019-03-07
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Earnest, Mary
Gene Colvin
B: 1963-01-07
D: 2019-03-05
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Colvin, Gene
Jacqueline Taylor
B: 1934-10-23
D: 2019-03-01
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Taylor, Jacqueline
Eddie Higgins
B: 1949-06-20
D: 2019-02-26
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Higgins, Eddie
John Burnside
B: 1946-11-15
D: 2019-02-24
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Burnside, John
Dana Wishart
B: 1986-08-11
D: 2019-02-24
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Wishart, Dana
Nancy Mosley
B: 1964-07-24
D: 2019-02-20
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Mosley, Nancy
David Scheller
B: 1979-11-27
D: 2019-02-18
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Scheller, David
Virginia Hardin
B: 1937-07-13
D: 2019-02-13
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Hardin, Virginia
Megan Sikorski
B: 1987-01-25
D: 2019-02-08
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Sikorski, Megan
Earl Gibbs
B: 1928-09-09
D: 2019-02-07
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Gibbs, Earl
George Milak
B: 1942-06-28
D: 2019-02-05
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Milak, George
Dawn Todorov
B: 1927-11-04
D: 2019-02-03
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Todorov, Dawn
Karen Nolan
B: 1960-08-11
D: 2019-01-28
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Nolan, Karen
Betty Hakey
B: 1935-05-29
D: 2019-01-23
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Hakey, Betty
Celina Sánchez
B: 1932-06-09
D: 2019-01-23
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Sánchez, Celina
M. Bolding
B: 1937-03-02
D: 2019-01-21
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Bolding, M.
Willia Kiddy
B: 1930-11-08
D: 2019-01-20
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Kiddy, Willia

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
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Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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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:
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The cemetery property is in the name of:

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