Obituaries

Clifford Reeder
B: 1921-06-26
D: 2017-06-26
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Reeder, Clifford
Thelma Stamm-Rains
B: 1930-01-23
D: 2017-06-22
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Stamm-Rains, Thelma
Kenneth Brown
B: 1960-08-29
D: 2017-06-22
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Brown, Kenneth
Donald Hicks
B: 1948-11-21
D: 2017-06-22
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Hicks, Donald
Donald Jonas
B: 1960-09-27
D: 2017-06-22
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Jonas, Donald
Janet Krafft
B: 1946-03-03
D: 2017-06-21
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Krafft, Janet
Lee Agee
B: 1926-08-11
D: 2017-06-21
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Agee, Lee
George Walker Jr.
B: 1921-10-26
D: 2017-06-19
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Walker Jr., George
Norman Kurtz
B: 1934-08-10
D: 2017-06-18
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Kurtz, Norman
Grace Ayer
B: 1931-02-19
D: 2017-06-15
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Ayer, Grace
Marilyn Wirthlin
B: 1928-08-22
D: 2017-06-13
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Wirthlin, Marilyn
Alvin Ober
B: 1932-01-26
D: 2017-06-13
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Ober, Alvin
Peggy Layne
B: 1945-07-06
D: 2017-06-12
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Layne, Peggy
Terry Armacost
B: 1963-05-20
D: 2017-06-10
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Armacost, Terry
Leonard Partusch
B: 1922-02-19
D: 2017-06-10
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Partusch, Leonard
Jane Henry
B: 1926-05-08
D: 2017-06-09
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Henry, Jane
Cecilia Smith
B: 1920-07-05
D: 2017-06-09
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Smith, Cecilia
Robert McKinney
B: 1926-06-08
D: 2017-06-08
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McKinney, Robert
Jeanne Marsh
B: 1925-09-15
D: 2017-06-08
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Marsh, Jeanne
Sharon Latham
B: 1947-05-30
D: 2017-06-08
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Latham, Sharon
Earl Malicoat Sr.
B: 1932-12-27
D: 2017-06-07
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Malicoat Sr., Earl

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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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