Obituaries

Patrick O'Malley
B: 1933-11-23
D: 2021-02-16
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O'Malley, Patrick
John Plank
B: 1937-07-11
D: 2021-02-13
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Plank, John
Norma Hulett
B: 1932-05-25
D: 2021-02-13
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Hulett, Norma
Doris Browning
B: 1937-02-19
D: 2021-02-01
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Browning, Doris
Barbara Bryan
B: 1927-08-22
D: 2021-01-30
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Bryan, Barbara
Jessie Harris
B: 1997-07-19
D: 2021-01-24
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Harris, Jessie
Ruth DeSelms
B: 1940-07-13
D: 2021-01-24
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DeSelms, Ruth
Catherine Scarlett
B: 1989-02-20
D: 2021-01-22
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Scarlett, Catherine
Jean Smith
B: 1931-05-04
D: 2021-01-15
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Smith, Jean
Helen Hay
B: 1933-09-22
D: 2021-01-14
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Hay, Helen
Donald Reynolds
B: 1940-10-21
D: 2021-01-07
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Reynolds, Donald
Jacqueline Hull
B: 1928-01-28
D: 2021-01-06
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Hull, Jacqueline
Lee Eskridge
B: 1969-06-30
D: 2020-12-28
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Eskridge, Lee
Larry Whitt
B: 1946-07-02
D: 2020-12-18
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Whitt, Larry
Mizella Pearson
B: 1933-04-20
D: 2020-12-06
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Pearson, Mizella
Ricky Foster
B: 1954-03-28
D: 2020-11-28
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Foster, Ricky
Kathryn Guthier
B: 1937-07-09
D: 2020-11-23
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Guthier, Kathryn
Lisa Burge
B: 1960-08-25
D: 2020-11-22
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Burge, Lisa
William Embrey
B: 1937-07-01
D: 2020-11-20
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Embrey, William
Nancy Chitty
B: 1943-07-07
D: 2020-11-19
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Chitty, Nancy
Barbara Adkins
B: 1929-05-14
D: 2020-11-16
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Adkins, Barbara

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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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