Obituaries

Virgil Trick
B: 1917-08-07
D: 2018-01-16
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Trick, Virgil
Joyce Thiel
B: 1933-03-26
D: 2018-01-14
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Thiel, Joyce
Robert Cox
B: 1932-06-09
D: 2018-01-07
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Cox, Robert
Sunshine Goodenough
B: 2017-07-05
D: 2018-01-05
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Goodenough, Sunshine
Delmer Warkentin
B: 1936-07-30
D: 2018-01-01
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Warkentin, Delmer
David Marion
B: 1931-09-27
D: 2017-12-31
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Marion, David
David McGlasson
B: 1945-03-15
D: 2017-12-29
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McGlasson, David
Michael Barnes
B: 1953-07-17
D: 2017-12-29
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Barnes, Michael
Melvin Olfert
B: 1921-05-18
D: 2017-12-28
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Olfert, Melvin
Steven Tipsword
B: 1962-10-19
D: 2017-12-27
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Tipsword, Steven
Opal Davidson
B: 1915-04-19
D: 2017-12-27
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Davidson, Opal
Terry Smith
B: 1943-12-16
D: 2017-12-26
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Smith, Terry
Arlie Holt
B: 1930-03-18
D: 2017-12-25
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Holt, Arlie
Loneita Miller
B: 1929-11-22
D: 2017-12-22
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Miller, Loneita
Janet Evans
B: 1942-10-05
D: 2017-12-21
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Evans, Janet
Ilene Thomas
B: 1935-03-03
D: 2017-12-21
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Thomas, Ilene
Shirley Gish
B: 1931-09-22
D: 2017-12-21
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Gish, Shirley
Joan McKee
B: 1931-07-28
D: 2017-12-19
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McKee, Joan
Jean Fleming
B: 1938-06-17
D: 2017-12-16
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Fleming, Jean
Mary Reimer
B: 1921-05-12
D: 2017-12-13
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Reimer, Mary
Donna Wilson
B: 1934-04-24
D: 2017-12-10
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Wilson, Donna

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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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