Obituaries

Bruce Carpenter
B: 1950-05-05
D: 2021-06-13
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Carpenter, Bruce
Juanito Dipasupil
B: 1961-06-23
D: 2021-06-08
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Dipasupil, Juanito
Steve Stewart
B: 1961-04-06
D: 2021-05-31
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Stewart, Steve
Kevin Gilbert
B: 1961-04-13
D: 2021-05-28
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Gilbert, Kevin
Jeffrey Ecobichon
B: 1954-04-15
D: 2021-05-27
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Ecobichon, Jeffrey
Angelica Hernandez
B: 1933-06-18
D: 2021-05-25
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Hernandez, Angelica
Carolyn James
B: 1956-03-31
D: 2021-05-25
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James, Carolyn
Jevene Smith
B: 1944-06-20
D: 2021-05-24
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Smith, Jevene
Joseph Yule
B: 1954-08-06
D: 2021-05-20
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Yule, Joseph
Alfred Pfeufer
B: 1942-04-07
D: 2021-05-13
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Pfeufer, Alfred
Jim Rodica
B: 1933-11-15
D: 2021-05-12
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Rodica, Jim
Stephen Lynn
B: 1958-07-07
D: 2021-05-08
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Lynn, Stephen
Leo Boehm
B: 1934-01-12
D: 2021-05-07
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Boehm, Leo
Shane Comparto
B: 1971-07-29
D: 2021-05-05
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Comparto, Shane
Dolores Scheyd
B: 1929-04-24
D: 2021-05-04
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Scheyd, Dolores
Albert Scheyd
B: 1934-11-30
D: 2021-05-02
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Scheyd, Albert
Charlytte Wilson
B: 2018-11-02
D: 2021-04-26
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Wilson, Charlytte
Kyle Midkiff
B: 2000-08-25
D: 2021-04-25
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Midkiff, Kyle
Deborah Richardson
B: 1951-10-17
D: 2021-04-24
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Richardson, Deborah
Joyce Tyler
B: 1932-01-29
D: 2021-04-20
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Tyler, Joyce
Christopher Hamilton
B: 1961-09-01
D: 2021-04-19
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Hamilton, Christopher

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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:

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