Obituaries

Verna Barnett
B: 1932-11-01
D: 2018-05-23
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Barnett, Verna
Kathy Praegitzer
B: 1961-11-03
D: 2018-05-21
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Praegitzer, Kathy
Myrtle Jaech
B: 1918-06-04
D: 2018-05-13
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Jaech, Myrtle
Shawn Berry
B: 1974-09-02
D: 2018-05-13
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Berry, Shawn
Julia Nelson
B: 1935-02-09
D: 2018-05-12
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Nelson, Julia
Lillian Proctor
B: 1928-08-28
D: 2018-05-11
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Proctor, Lillian
Harvey Bartel
B: 1926-05-15
D: 2018-05-10
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Bartel, Harvey
Alvin Bradford
B: 1924-10-23
D: 2018-05-07
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Bradford, Alvin
Alan Schroeder
B: 1965-08-29
D: 2018-05-01
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Schroeder, Alan
Gerald Burnham
B: 1963-02-12
D: 2018-04-30
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Burnham, Gerald
Irene Oehler
B: 1926-04-08
D: 2018-04-26
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Oehler, Irene
Frank Snyder
B: 1937-06-19
D: 2018-04-23
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Snyder, Frank
Richard Proctor
B: 1950-11-21
D: 2018-04-23
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Proctor, Richard
Shirley Kinion
B: 1928-10-21
D: 2018-04-22
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Kinion, Shirley
Patrick Trowbridge
B: 1955-04-13
D: 2018-04-21
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Trowbridge, Patrick
De'An Marr
B: 1945-04-13
D: 2018-04-17
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Marr, De'An
Lois Bevens
B: 1927-02-26
D: 2018-04-16
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Bevens, Lois
Doreen Erickson
B: 1954-11-11
D: 2018-04-15
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Erickson, Doreen
Florence Nelson
B: 1922-10-02
D: 2018-04-12
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Nelson, Florence
Samuel Palmer
B: 1957-10-20
D: 2018-04-12
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Palmer, Samuel
Diane Berube
B: 1954-10-29
D: 2018-04-12
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Berube, Diane

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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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