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Obituaries

Allan Stover
B: 1938-06-28
D: 2019-09-18
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Stover, Allan
Jerry Wilkinson
B: 1946-02-27
D: 2019-09-17
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Wilkinson, Jerry
Roger Williams
B: 1959-11-11
D: 2019-09-15
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Williams, Roger
Jack McCoy
B: 1924-03-15
D: 2019-09-15
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McCoy, Jack
Susan Porter
B: 1952-03-14
D: 2019-09-14
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Porter, Susan
Emily Summers
B: 1924-07-13
D: 2019-09-14
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Summers, Emily
Dorothy Watts
B: 1930-11-26
D: 2019-09-13
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Watts, Dorothy
Teresa Dixon
B: 1962-04-20
D: 2019-09-12
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Dixon, Teresa
A. Sue Walker
D: 2019-09-12
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Walker, A. Sue
Jennings Davis
B: 1933-11-27
D: 2019-09-11
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Davis, Jennings
Elroy McGonigal
B: 1935-09-16
D: 2019-09-10
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McGonigal, Elroy
Paul Ciance
B: 1934-03-11
D: 2019-09-09
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Ciance, Paul
Ronald Herbers
B: 1939-10-04
D: 2019-09-09
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Herbers, Ronald
Goldie Eulett
B: 1940-03-13
D: 2019-09-08
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Eulett, Goldie
Betty Lou Kelley
B: 1931-01-26
D: 2019-09-07
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Kelley, Betty Lou
Charles Guy
B: 1951-07-29
D: 2019-09-07
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Guy, Charles
Ronald Page
B: 1939-05-30
D: 2019-09-06
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Page, Ronald
Michael Screws
B: 1957-05-09
D: 2019-09-05
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Screws, Michael
Frederick Dietz
B: 1931-10-21
D: 2019-09-05
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Dietz, Frederick
Denis Ketterman
B: 1950-03-29
D: 2019-09-05
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Ketterman, Denis
James Winder
B: 1935-10-31
D: 2019-09-04
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Winder, James

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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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