Obituaries

Dixon Phillips
B: 1932-12-01
D: 2017-11-14
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Phillips, Dixon
Kacey Moore
B: 1986-05-30
D: 2017-11-13
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Moore, Kacey
Calvin VanWinkle
B: 1954-02-05
D: 2017-11-13
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VanWinkle, Calvin
Barbara Brown
B: 1940-06-08
D: 2017-11-12
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Brown, Barbara
Ann Brown
B: 1936-03-24
D: 2017-11-11
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Brown, Ann
Donald Thomen
B: 1936-02-05
D: 2017-11-09
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Thomen, Donald
Patricia McDaniel
B: 1928-09-24
D: 2017-11-08
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McDaniel, Patricia
Gail Brees
B: 1932-08-08
D: 2017-11-06
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Brees, Gail
Arthur Leppin
B: 1932-04-01
D: 2017-11-06
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Leppin, Arthur
Rodney Reed
B: 1955-02-28
D: 2017-11-04
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Reed, Rodney
Ezekiel Jauregui
B: 2017-10-22
D: 2017-11-03
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Jauregui, Ezekiel
Eren Kilic
B: 1996-03-14
D: 2017-11-02
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Kilic, Eren
Joyce Baker
B: 1945-02-09
D: 2017-11-02
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Baker, Joyce
Jeanette Case
B: 1965-03-05
D: 2017-11-02
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Case, Jeanette
Michelle Cleaves
B: 1951-07-20
D: 2017-10-31
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Cleaves, Michelle
Hortensia Campbell
B: 1923-03-10
D: 2017-10-26
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Campbell, Hortensia
Cherilyn Cooper
B: 1947-06-17
D: 2017-10-26
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Cooper, Cherilyn
Charles Myers
B: 1934-09-02
D: 2017-10-24
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Myers, Charles
Vivian Schellenberg
B: 1923-04-03
D: 2017-10-22
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Schellenberg, Vivian
James Potter
B: 1950-09-21
D: 2017-10-20
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Potter, James
Dorothy Gallentine
B: 1931-06-01
D: 2017-10-20
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Gallentine, Dorothy

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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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