Obituaries

Ellenor Unverzagt
B: 1924-09-25
D: 2017-12-13
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Unverzagt, Ellenor
Dorothy Veach
B: 1924-06-17
D: 2017-12-13
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Veach, Dorothy
Barbara Dahlheimer
B: 1939-07-02
D: 2017-12-12
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Dahlheimer, Barbara
Constance King
B: 1947-05-31
D: 2017-12-12
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King, Constance
Robert Cannon
B: 1967-07-24
D: 2017-12-12
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Cannon, Robert
Mary Henderson
B: 1928-10-10
D: 2017-12-11
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Henderson, Mary
Irma Roberts
B: 1935-03-31
D: 2017-12-10
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Roberts, Irma
Mary Hope Hall
B: 1927-10-26
D: 2017-12-09
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Hall, Mary Hope
David Garrison
B: 1960-11-11
D: 2017-12-09
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Garrison, David
Vincent Montelisciani
B: 1918-01-13
D: 2017-12-08
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Montelisciani, Vincent
Mildred Wilson
B: 1935-06-23
D: 2017-12-08
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Wilson, Mildred
Francis Osterholz
B: 1937-08-05
D: 2017-12-07
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Osterholz, Francis
Rodger Hein
B: 1942-01-31
D: 2017-12-06
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Hein, Rodger
Donald Newcomb
B: 1931-08-08
D: 2017-12-04
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Newcomb, Donald
Dorothy Waller
B: 1929-12-05
D: 2017-12-04
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Waller, Dorothy
Linda Egan
B: 1951-09-02
D: 2017-12-01
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Egan, Linda
Joseph Dansberry
B: 1926-01-31
D: 2017-11-30
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Dansberry, Joseph
Capt. Willard Siepel
B: 1937-03-27
D: 2017-11-30
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Siepel, Capt. Willard
Frank Henchey
B: 1940-08-19
D: 2017-11-29
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Henchey, Frank
Charles Wheatley
B: 1933-09-30
D: 2017-11-29
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Wheatley, Charles
Pauline Brown
B: 1934-03-23
D: 2017-11-28
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Brown, Pauline

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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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