Obituaries

Mildred 'Betty' Forry
B: 1913-01-19
D: 2017-04-21
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Forry, Mildred 'Betty'
Robert Atkinson
B: 1926-08-04
D: 2017-04-18
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Atkinson, Robert
Donna Hornsby
B: 1946-07-05
D: 2017-04-17
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Hornsby, Donna
Gary French
B: 1941-11-17
D: 2017-04-17
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French, Gary
Donna Hornsby
B: 1946-07-05
D: 2017-04-17
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Hornsby, Donna
Londyn Davis
B: 2017-03-27
D: 2017-04-16
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Davis, Londyn
Debra Wible
B: 1961-06-29
D: 2017-04-15
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Wible, Debra
Alfred Jones
B: 1943-11-27
D: 2017-04-14
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Jones, Alfred
David 'Duke' Olson
D: 2017-04-14
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Olson, David 'Duke'
Connie Gardner
B: 1931-04-09
D: 2017-04-09
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Gardner, Connie
Rose Starr-Peters
B: 1956-12-05
D: 2017-04-07
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Starr-Peters, Rose
Lilly Cowan
B: 1933-03-12
D: 2017-04-07
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Cowan, Lilly
Karen Reardon
B: 1953-05-06
D: 2017-04-06
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Reardon, Karen
David Pedwell
B: 1953-11-25
D: 2017-04-06
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Pedwell, David
Stephanie 'Penny' Calvin
B: 1956-08-07
D: 2017-04-04
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Calvin, Stephanie 'Penny'
Michael Hayes
B: 1985-08-14
D: 2017-04-04
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Hayes, Michael
B. Jeanne Palmer
B: 1927-01-31
D: 2017-04-02
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Palmer, B. Jeanne
Lavina Brixius
B: 1922-07-17
D: 2017-04-02
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Brixius, Lavina
Alice Murray
B: 1924-03-08
D: 2017-03-30
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Murray, Alice
Dennis 'Denny' Fryrear
B: 1940-09-08
D: 2017-03-30
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Fryrear, Dennis 'Denny'
Robert Kolka
B: 1941-01-08
D: 2017-03-29
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Kolka, Robert

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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:
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:
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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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