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Obituaries

Allen McGough
B: 1942-05-22
D: 2019-05-20
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McGough, Allen
Michael Connell
B: 1986-12-08
D: 2019-05-19
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Connell, Michael
Mark Bouterse
B: 1950-04-13
D: 2019-05-19
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Bouterse, Mark
Kathryn Ann Dupler
B: 1936-12-04
D: 2019-05-18
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Dupler, Kathryn Ann
Jean DeLong
B: 1934-04-25
D: 2019-05-17
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DeLong, Jean
Hilburn Berry
B: 1937-12-11
D: 2019-05-17
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Berry, Hilburn
Patricia E. Morgan
B: 1935-12-23
D: 2019-05-17
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Morgan, Patricia E.
Suzanne Rosemeier
B: 1936-04-09
D: 2019-05-17
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Rosemeier, Suzanne
Joseph Emonds
B: 1935-10-28
D: 2019-05-16
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Emonds, Joseph
Shirley H. Krauss
B: 1936-11-03
D: 2019-05-16
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Krauss, Shirley H.
James Johnson
B: 1944-06-09
D: 2019-05-15
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Johnson, James
Roger Lauzon
B: 1925-09-20
D: 2019-05-14
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Lauzon, Roger
Richard Francis Martin
B: 1937-06-05
D: 2019-05-14
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Martin, Richard Francis
Arthur Drews
B: 1936-12-02
D: 2019-05-12
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Drews, Arthur
Patricia Trautz
B: 1936-05-29
D: 2019-05-11
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Trautz, Patricia
Jesse Perkins
B: 1945-05-24
D: 2019-05-10
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Perkins, Jesse
Robert Klueh
B: 1937-08-18
D: 2019-05-10
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Klueh, Robert
Sheena Phillip
B: 1987-01-15
D: 2019-05-10
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Phillip, Sheena
Shirley Nichols
B: 1934-05-02
D: 2019-05-09
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Nichols, Shirley
Carolyn N. Baker
B: 1935-01-31
D: 2019-05-09
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Baker, Carolyn N.
Eileen Beall
B: 1933-02-16
D: 2019-05-09
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Beall, Eileen

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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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