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Obituaries

Albert Burdeshaw
B: 1938-04-03
D: 2017-08-20
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Burdeshaw, Albert
Alfred Tutela
B: 1941-02-11
D: 2017-08-20
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Tutela, Alfred
Wayne Ledger
B: 1941-05-16
D: 2017-08-19
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Ledger, Wayne
Carolyn Wilkins
B: 1938-02-23
D: 2017-08-18
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Wilkins, Carolyn
Alvin Craig
B: 1953-11-30
D: 2017-08-18
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Craig, Alvin
Diane Andrews
B: 1954-10-30
D: 2017-08-18
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Andrews, Diane
Margaret Gates
B: 1927-10-04
D: 2017-08-17
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Gates, Margaret
John Pohlmeyer
B: 1930-01-29
D: 2017-08-17
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Pohlmeyer, John
Laverne Hutchinson
B: 1925-09-04
D: 2017-08-17
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Hutchinson, Laverne
Mildred Spor
B: 1919-04-03
D: 2017-08-17
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Spor, Mildred
Thomas Horton
B: 1929-10-04
D: 2017-08-17
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Horton, Thomas
Virginia Lindsey
B: 1915-03-16
D: 2017-08-16
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Lindsey, Virginia
Louie Williams
B: 1944-05-01
D: 2017-08-16
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Williams, Louie
Regina Bellus
B: 1957-06-02
D: 2017-08-15
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Bellus, Regina
Newell Figi
B: 1932-04-17
D: 2017-08-15
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Figi, Newell
Russell Moyer
B: 1940-05-06
D: 2017-08-15
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Moyer, Russell
Elbert Barnes
B: 1935-11-21
D: 2017-08-14
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Barnes, Elbert
Robert Newton
B: 1940-04-20
D: 2017-08-14
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Newton, Robert
Andrew Skroly
B: 1937-04-18
D: 2017-08-13
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Skroly, Andrew
Doney Steadman
B: 1929-05-22
D: 2017-08-12
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Steadman, Doney
Oliver Anderson
B: 1929-07-10
D: 2017-08-10
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Anderson, Oliver

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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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