Obituaries

Bryan Sigler
B: 1981-11-01
D: 2021-04-11
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Sigler, Bryan
Brandon Wolfe
B: 1991-03-15
D: 2021-03-31
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Wolfe, Brandon
Ruth Kendzulak
B: 1930-01-26
D: 2021-03-27
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Kendzulak, Ruth
Silvestre Duran
B: 1938-10-26
D: 2021-03-16
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Duran, Silvestre
Betty Mozingo
B: 1930-09-07
D: 2021-03-15
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Mozingo, Betty
FREDERICK PEARCE
B: 1966-03-27
D: 2021-03-11
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PEARCE, FREDERICK
Charles Bushong
B: 1930-12-30
D: 2021-03-09
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Bushong, Charles
Margaret Mabrey
B: 1940-10-28
D: 2021-03-08
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Mabrey, Margaret
Ellen Riker
B: 1940-09-05
D: 2021-03-08
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Riker, Ellen
Frederick Poorman
B: 1930-01-05
D: 2021-03-08
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Poorman, Frederick
Larry Covington
B: 1941-01-14
D: 2021-03-07
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Covington, Larry
Robert Pope
B: 1933-07-13
D: 2021-03-05
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Pope, Robert
Elizabeth Bohny
B: 1957-09-07
D: 2021-03-03
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Bohny, Elizabeth
Timothy Winfree
B: 1963-12-04
D: 2021-02-27
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Winfree, Timothy
Sammy Twisdale
B: 1954-07-16
D: 2021-02-27
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Twisdale, Sammy
Sharon Wood
B: 1948-05-19
D: 2021-02-26
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Wood, Sharon
Patricia Neely
B: 1940-06-21
D: 2021-02-26
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Neely, Patricia
Richard Hopka
B: 1964-03-06
D: 2021-02-23
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Hopka, Richard
Eddie Bailey
B: 1934-04-23
D: 2021-02-21
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Bailey, Eddie
Rosalina Barbero
B: 1934-01-06
D: 2021-02-20
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Barbero, Rosalina
Phyllis Walton
B: 1938-10-26
D: 2021-02-20
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Walton, Phyllis

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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:

Please select one of the options below:

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Please place my information on file