Obituaries

Eric Martin
B: 1975-02-06
D: 2024-02-16
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Martin, Eric
Donald Katlin
B: 1929-07-21
D: 2024-02-12
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Katlin, Donald
Robert Eckert
B: 1934-10-26
D: 2024-02-10
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Eckert, Robert
Craig Sandahl
B: 1968-04-05
D: 2024-01-31
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Sandahl, Craig
Hollis Fullerton
B: 1950-07-03
D: 2024-01-24
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Fullerton, Hollis
Eugene Hill
B: 1935-08-03
D: 2024-01-22
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Hill, Eugene
Donald Page
B: 1924-12-22
D: 2024-01-20
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Page, Donald
Connie Jurgens
B: 1950-03-22
D: 2024-01-17
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Jurgens, Connie
Dale Knox
B: 1944-02-01
D: 2024-01-13
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Knox, Dale
Thomas Lawrence-Fullbright
B: 1988-02-17
D: 2024-01-11
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Lawrence-Fullbright, Thomas
Robert Perdue
B: 1947-05-07
D: 2024-01-04
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Perdue, Robert
Charles Mancin
B: 1997-06-20
D: 2023-12-25
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Mancin, Charles
Mary Moppin
B: 1934-08-19
D: 2023-12-24
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Moppin, Mary
Elbert Ballard
B: 1938-07-19
D: 2023-12-22
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Ballard, Elbert
Elbert Pirtle
B: 1939-04-07
D: 2023-12-15
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Pirtle, Elbert
Rita Davis
B: 1957-09-12
D: 2023-12-10
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Davis, Rita
Theodore Remmers
B: 1953-07-25
D: 2023-12-08
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Remmers, Theodore
Rita Smith
B: 1949-03-17
D: 2023-12-04
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Smith, Rita
Claude Jones
B: 1942-05-06
D: 2023-11-25
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Jones, Claude
Terrence Gerstenberger
B: 1960-10-05
D: 2023-11-23
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Gerstenberger, Terrence
Michael Dean
B: 1961-02-12
D: 2023-11-22
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Dean, Michael

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1106 E. Branch St.
PO Box 1094
PLATTE CITY, MO 64079
Phone: 816.858.2129
Fax: 816.858.2347

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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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