Obituaries

Oscar Webb, Jr.
B: 1929-10-08
D: 2020-04-04
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Webb, Jr., Oscar
Ronald Schneider
B: 1942-06-16
D: 2020-03-25
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Schneider, Ronald
Elaine Hershley
B: 1929-08-24
D: 2020-03-22
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Hershley, Elaine
Mary Gladson
B: 1949-07-19
D: 2020-03-19
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Gladson, Mary
Otis Burnett
B: 1928-03-17
D: 2020-03-18
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Burnett, Otis
Mary Smith
B: 1923-08-26
D: 2020-03-07
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Smith, Mary
Evelyn Miller
B: 1925-04-01
D: 2020-03-04
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Miller, Evelyn
Deanna Feldman
B: 1943-01-19
D: 2020-03-02
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Feldman, Deanna
Verlin Mann
B: 1941-11-01
D: 2020-02-28
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Mann, Verlin
David Norris
B: 1942-02-21
D: 2020-02-16
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Norris, David
Donna Williams
B: 1957-10-18
D: 2020-02-04
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Williams, Donna
Robyn Bloomquist
B: 1952-12-14
D: 2020-01-30
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Bloomquist, Robyn
James Wariner
B: 1938-11-09
D: 2020-01-28
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Wariner, James
David Brittingham
B: 1953-01-12
D: 2020-01-25
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Brittingham, David
Ruth Hall
B: 1941-11-11
D: 2020-01-23
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Hall, Ruth
Franklin Owen
B: 1959-01-29
D: 2020-01-13
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Owen, Franklin
Betty Daniels
B: 1944-05-15
D: 2020-01-02
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Daniels, Betty
Dixie Wilson
B: 1933-05-17
D: 2019-12-29
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Wilson, Dixie
JoDeLene Whitaker
B: 1924-07-24
D: 2019-12-27
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Whitaker, JoDeLene
Ronald Gudewicz
B: 1940-09-02
D: 2019-12-26
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Gudewicz, Ronald
Donald Semenec
B: 1957-08-22
D: 2019-12-26
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Semenec, Donald

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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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