Obituaries

Eleanor Long
B: 1936-08-12
D: 2017-10-16
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Long, Eleanor
Myra Brawley
B: 1930-10-20
D: 2017-10-12
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Brawley, Myra
Edward Heidemann
B: 1927-04-11
D: 2017-10-12
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Heidemann, Edward
Keith Enyart
B: 1984-11-02
D: 2017-10-09
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Enyart, Keith
Rudy Fuchs
B: 1935-10-29
D: 2017-10-06
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Fuchs, Rudy
Carl Clubb
B: 1929-01-08
D: 2017-10-03
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Clubb, Carl
Alma Kleisner
B: 1929-12-16
D: 2017-10-03
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Kleisner, Alma
Betty Smith
B: 1934-10-30
D: 2017-09-30
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Smith, Betty
Lillie Cook
B: 1941-10-29
D: 2017-09-28
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Cook, Lillie
Angie Everhart
B: 1962-06-05
D: 2017-09-27
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Everhart, Angie
Constance Woodring
B: 1934-10-07
D: 2017-09-26
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Woodring, Constance
Darrol Hada
B: 1944-05-12
D: 2017-09-20
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Hada, Darrol
Bonnie Atnip
B: 1926-09-28
D: 2017-09-17
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Atnip, Bonnie
Edward Lunyou
B: 1937-08-22
D: 2017-09-16
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Lunyou, Edward
Glen Sertl
B: 1949-12-17
D: 2017-09-09
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Sertl, Glen
Donna Wood
B: 1932-09-05
D: 2017-09-08
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Wood, Donna
Evelyn Scott
D: 2017-09-07
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Scott, Evelyn
Gary Trapp
B: 1941-09-07
D: 2017-09-01
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Trapp, Gary
Alta Walters
B: 1961-12-23
D: 2017-08-29
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Walters, Alta
Diane Campbell
B: 1965-02-11
D: 2017-08-25
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Campbell, Diane
Bertha Davis
B: 1946-11-27
D: 2017-08-25
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Davis, Bertha

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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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