Obituaries

Florence Foster
B: 1935-07-04
D: 2017-10-15
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Foster, Florence
Olga Haas
B: 1922-11-03
D: 2017-10-13
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Haas, Olga
Scott Behrens
B: 1950-06-16
D: 2017-10-13
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Behrens, Scott
Earl Raible
B: 1921-12-07
D: 2017-10-11
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Raible, Earl
Lenora Stewart
B: 1926-01-02
D: 2017-10-10
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Stewart, Lenora
Glenn Caldwell
B: 1931-02-19
D: 2017-10-06
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Caldwell, Glenn
Jean Gauthier
B: 1928-08-10
D: 2017-10-06
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Gauthier, Jean
Francis Kelly
B: 1927-02-16
D: 2017-10-06
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Kelly, Francis
Katherine Davis
B: 1957-11-26
D: 2017-10-02
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Davis, Katherine
Paul Hesse
B: 1933-04-10
D: 2017-10-01
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Hesse, Paul
Anne McHale
B: 1924-06-09
D: 2017-09-30
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McHale, Anne
Jeanne Toohey
B: 1922-07-24
D: 2017-09-29
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Toohey, Jeanne
Arthur Reeves Jr.
B: 1946-01-19
D: 2017-09-28
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Reeves Jr., Arthur
Mary Kathleen Preston
B: 1926-04-13
D: 2017-09-27
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Preston, Mary Kathleen
D. Michael Murphy
B: 1949-02-24
D: 2017-09-26
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Murphy, D. Michael
Shirley Brumfield
B: 1930-09-15
D: 2017-09-25
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Brumfield, Shirley
Laverne Wehrman
B: 1927-06-22
D: 2017-09-25
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Wehrman, Laverne
Mary Pearson
B: 1933-04-20
D: 2017-09-21
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Pearson, Mary
Joan Scott
B: 1932-07-30
D: 2017-09-20
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Scott, Joan
Edward Kamphaus
B: 1935-05-04
D: 2017-09-20
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Kamphaus, Edward
Edward Mc Hale
B: 1922-09-21
D: 2017-09-19
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Mc Hale, Edward

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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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