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Obituaries

Myron Zipperer
B: 1947-08-04
D: 2020-02-18
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Zipperer, Myron
Dwight Stoffel
B: 1931-04-08
D: 2020-02-17
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Stoffel, Dwight
Tena Crenshaw
B: 1930-12-15
D: 2020-02-17
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Crenshaw, Tena
Helen Corrigan
B: 1937-06-19
D: 2020-02-16
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Corrigan, Helen
George Dawson
B: 1936-06-14
D: 2020-02-16
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Dawson, George
Benny Cook
B: 1960-09-20
D: 2020-02-14
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Cook, Benny
Joan Mikulewicz
B: 1951-09-17
D: 2020-02-13
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Mikulewicz, Joan
Betty Jonas
B: 1932-07-09
D: 2020-02-12
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Jonas, Betty
Donald Widmann
B: 1943-03-22
D: 2020-02-12
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Widmann, Donald
Rudy Geraci
B: 1936-05-28
D: 2020-02-11
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Geraci, Rudy
Bonnie Walls
B: 1926-07-19
D: 2020-02-11
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Walls, Bonnie
Richard Peterson
B: 1939-10-16
D: 2020-02-11
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Peterson, Richard
DeLois Spearman
B: 1942-12-13
D: 2020-02-10
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Spearman, DeLois
Robert A. Haeck
B: 1947-03-26
D: 2020-02-10
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Haeck, Robert A.
Harold Slater
B: 1929-11-12
D: 2020-02-10
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Slater, Harold
Helen Cottom
B: 1931-07-16
D: 2020-02-10
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Cottom, Helen
Iris Atkinson
B: 1938-10-19
D: 2020-02-10
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Atkinson, Iris
Mercedes Powidzki
B: 1936-10-10
D: 2020-02-10
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Powidzki, Mercedes
Diona Ragar
B: 1947-09-17
D: 2020-02-09
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Ragar, Diona
Dianne Langan
B: 1957-06-20
D: 2020-02-09
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Langan, Dianne
Alexes Matthews
B: 1998-03-24
D: 2020-02-09
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Matthews, Alexes

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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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