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Obituaries

Daniel Davis
B: 1952-12-15
D: 2020-06-02
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Davis, Daniel
Retired Lt. Col. Dale Stevens
B: 1944-08-05
D: 2020-06-01
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Stevens, Retired Lt. Col. Dale
Clyde Hunt
B: 1932-12-28
D: 2020-05-31
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Hunt, Clyde
James Yeager
B: 1931-05-13
D: 2020-05-31
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Yeager, James
Ken Cord
B: 1937-10-22
D: 2020-05-31
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Cord, Ken
Roger Hayes
B: 1955-02-03
D: 2020-05-30
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Hayes, Roger
Robert Wenrich
B: 1951-10-14
D: 2020-05-30
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Wenrich, Robert
Jay Shaffer
B: 1935-08-05
D: 2020-05-29
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Shaffer, Jay
Michael Hart
B: 1950-10-25
D: 2020-05-28
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Hart, Michael
Shirley Welch
B: 1936-02-14
D: 2020-05-28
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Welch, Shirley
Earl Louer
B: 1939-09-25
D: 2020-05-27
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Louer, Earl
Ellen Traver
B: 1940-01-13
D: 2020-05-26
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Traver, Ellen
Agnes Zak
B: 1923-03-20
D: 2020-05-26
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Zak, Agnes
Helen Dunlap
B: 1928-05-25
D: 2020-05-26
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Dunlap, Helen
Christine D. Seiler
B: 1929-03-15
D: 2020-05-25
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Seiler, Christine D.
Iris Wright
B: 1931-04-27
D: 2020-05-25
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Wright, Iris
James Mills
B: 1982-01-25
D: 2020-05-25
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Mills, James
Linda Millard
B: 1933-04-19
D: 2020-05-25
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Millard, Linda
Harold Dobson
B: 1934-04-22
D: 2020-05-24
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Dobson, Harold
Larry Fort
B: 1951-05-17
D: 2020-05-24
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Fort, Larry
Georgina Jacobson
B: 1930-03-11
D: 2020-05-23
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Jacobson, Georgina

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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:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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