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Obituaries

Timothy Parker
B: 1958-02-26
D: 2021-04-14
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Parker, Timothy
Theodore Hutchison
B: 1930-03-17
D: 2021-04-12
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Hutchison, Theodore
Diane Kaminski
B: 1945-01-15
D: 2021-04-11
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Kaminski, Diane
Myrtle Mock
B: 1924-02-18
D: 2021-04-10
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Mock, Myrtle
Suzanne Thompson
B: 1936-05-09
D: 2021-04-10
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Thompson, Suzanne
Mary Davis
B: 1934-04-09
D: 2021-04-09
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Davis, Mary
Kenneth Nash
B: 1941-07-22
D: 2021-04-09
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Nash, Kenneth
Janet Holmes
B: 1932-09-22
D: 2021-04-09
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Holmes, Janet
Robert Williams
B: 1938-10-23
D: 2021-04-08
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Williams, Robert
Ray Guenther
B: 1942-12-31
D: 2021-04-08
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Guenther, Ray
John Westervelt
B: 1960-06-07
D: 2021-04-07
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Westervelt, John
Lucille Penley
B: 1934-06-12
D: 2021-04-05
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Penley, Lucille
John Head
B: 1938-12-05
D: 2021-04-05
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Head, John
Barbara Foss
B: 1936-03-16
D: 2021-04-05
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Foss, Barbara
Clell Coleman
B: 1946-01-10
D: 2021-04-04
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Coleman, Clell
Carrie Corn
B: 1953-01-30
D: 2021-04-04
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Corn, Carrie
Doris Austin
B: 1929-10-06
D: 2021-04-04
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Austin, Doris
Barbara LaRue
B: 1940-09-04
D: 2021-04-03
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LaRue, Barbara
Eulah Halley
B: 1930-04-18
D: 2021-04-03
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Halley, Eulah
Herman Walder
B: 1933-12-09
D: 2021-04-03
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Walder, Herman
Harold Thompson
B: 1930-12-21
D: 2021-04-02
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Thompson, Harold

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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:

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