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Obituaries

Eddie Williams
B: 1945-08-06
D: 2019-07-15
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Williams, Eddie
Lilah L. Beckwith
B: 1922-09-03
D: 2019-07-14
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Beckwith, Lilah L.
Ann Carmichael
B: 1933-05-13
D: 2019-07-13
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Carmichael, Ann
Kathryn Watts
B: 1924-06-20
D: 2019-07-13
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Watts, Kathryn
Jerry Revels
B: 1945-06-24
D: 2019-07-13
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Revels, Jerry
Ralph Owenby
B: 1931-11-30
D: 2019-07-11
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Owenby, Ralph
Cole Skinner
B: 1924-07-17
D: 2019-07-11
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Skinner, Cole
Scott Eseman
B: 1946-03-11
D: 2019-07-11
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Eseman, Scott
Lois Whitaker
B: 1940-06-20
D: 2019-07-10
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Whitaker, Lois
Margaret Muchnicki
B: 1942-08-13
D: 2019-07-08
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Muchnicki, Margaret
Mary Branch
B: 1938-12-30
D: 2019-07-07
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Branch, Mary
Margaret Snow
B: 1944-05-31
D: 2019-07-07
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Snow, Margaret
Addrie Otterbourg
B: 1927-03-07
D: 2019-07-07
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Otterbourg, Addrie
Gloria Myers
B: 1932-09-20
D: 2019-07-07
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Myers, Gloria
Guylen Cheatham
B: 1945-10-16
D: 2019-07-06
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Cheatham, Guylen
Bonnie Brink Hauter
B: 1918-01-20
D: 2019-07-05
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Brink Hauter, Bonnie
Evelyn Zaharoff
B: 1923-07-29
D: 2019-07-05
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Zaharoff, Evelyn
Robert Rigby
B: 1945-04-25
D: 2019-07-04
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Rigby, Robert
Lee Ray
B: 1941-07-21
D: 2019-07-04
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Ray, Lee
Harold Brooks
B: 1952-03-30
D: 2019-07-04
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Brooks, Harold
Kenneth Brown
B: 1943-04-01
D: 2019-07-03
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Brown, Kenneth

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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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