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Obituaries

Gayle Bridges
B: 1933-01-05
D: 2017-04-28
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Bridges, Gayle
Ivan Beyers
B: 1923-04-14
D: 2017-04-27
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Beyers , Ivan
James Brannen
B: 1953-08-03
D: 2017-04-26
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Brannen, James
John Buzzell
B: 1924-03-19
D: 2017-04-26
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Buzzell, John
Nancy Ann Wilfong
B: 1936-11-04
D: 2017-04-25
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Wilfong, Nancy Ann
Lamar Thomas
B: 1939-08-19
D: 2017-04-24
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Thomas, Lamar
Prentiss Long
B: 1937-07-03
D: 2017-04-24
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Long, Prentiss
Vladimir "Walter" Zivkovich
B: 1928-01-26
D: 2017-04-23
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Zivkovich, Vladimir "Walter"
Rita Skillin
B: 1935-10-10
D: 2017-04-22
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Skillin, Rita
Thomas Skarupa
B: 1948-07-29
D: 2017-04-22
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Skarupa, Thomas
Deborah Eckert
B: 1962-03-03
D: 2017-04-21
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Eckert, Deborah
Phillip Creel
B: 1943-03-29
D: 2017-04-21
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Creel, Phillip
William Knop
B: 1941-10-09
D: 2017-04-21
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Knop, William
Marilyn Crumbo
B: 1931-08-24
D: 2017-04-21
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Crumbo, Marilyn
Anna Anderson
B: 1924-04-14
D: 2017-04-21
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Anderson, Anna
Michael Fish
B: 1962-05-05
D: 2017-04-21
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Fish, Michael
Marilyn Crumbo
B: 1931-08-24
D: 2017-04-21
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Crumbo, Marilyn
Mattie Waller
B: 1921-11-06
D: 2017-04-20
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Waller, Mattie
Elizabeth James
B: 1932-12-15
D: 2017-04-19
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James, Elizabeth
Leonard Lineberry
B: 1931-06-06
D: 2017-04-19
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Lineberry, Leonard
Paul Register
B: 1941-09-30
D: 2017-04-19
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Register, Paul

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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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