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Obituaries

Nelda Armstrong
B: 1954-10-12
D: 2018-06-19
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Armstrong, Nelda
John Guinane
B: 1943-03-18
D: 2018-06-17
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Guinane, John
Louise Cheatham
B: 1932-07-14
D: 2018-06-16
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Cheatham, Louise
Catherine Davis
B: 1924-02-11
D: 2018-06-15
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Davis, Catherine
Russell Cheatham
B: 1952-09-27
D: 2018-06-14
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Cheatham, Russell
Donna Johnson
B: 1956-07-23
D: 2018-06-14
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Johnson, Donna
Jeffrey Cunningham
B: 1955-01-29
D: 2018-06-14
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Cunningham, Jeffrey
Polly Land
B: 1918-06-07
D: 2018-06-12
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Land, Polly
Donald Sudbrook
B: 1933-02-24
D: 2018-06-11
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Sudbrook, Donald
Charles Clinton
B: 1925-10-09
D: 2018-06-09
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Clinton, Charles
Lanny Husebo
B: 1952-08-22
D: 2018-06-09
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Husebo, Lanny
Joan Gardiner
B: 1942-10-20
D: 2018-06-08
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Gardiner, Joan
Janice Mercer
B: 1934-09-12
D: 2018-06-08
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Mercer, Janice
Marie Beeler
B: 1930-11-09
D: 2018-06-08
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Beeler, Marie
Dolores Watson
B: 1938-09-13
D: 2018-06-08
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Watson, Dolores
Connie L. Massey
B: 1942-05-21
D: 2018-06-07
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Massey, Connie L.
Frances Enochs
B: 1934-04-15
D: 2018-06-07
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Enochs, Frances
Paul Giantonio
B: 1948-09-15
D: 2018-06-07
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Giantonio, Paul
Dennis Rixie
B: 1957-06-30
D: 2018-06-07
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Rixie, Dennis
Jean Jones
B: 1933-02-11
D: 2018-06-06
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Jones, Jean
Gerald Fultz
B: 1936-07-16
D: 2018-06-06
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Fultz, Gerald

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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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