Obituaries

Bertha Wockenfuss
D: 2018-07-19
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Wockenfuss, Bertha
Leslie Leonard
B: 1955-09-27
D: 2018-07-18
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Leonard, Leslie
Melba Moss
B: 1937-02-27
D: 2018-07-17
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Moss, Melba
Barbara Magill
D: 2018-07-15
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Magill, Barbara
James Hastings
B: 1941-01-23
D: 2018-07-14
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Hastings, James
Carolyn Mann
B: 1940-09-23
D: 2018-07-13
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Mann, Carolyn
Michael Bartlett
B: 1970-04-16
D: 2018-07-09
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Bartlett, Michael
Wayne Hults
B: 1935-12-11
D: 2018-07-05
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Hults, Wayne
Melvin Barks
B: 1937-11-13
D: 2018-07-01
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Barks, Melvin
Leo Jennewein
B: 1935-12-12
D: 2018-06-27
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Jennewein, Leo
Carolyn Lane
B: 1955-08-27
D: 2018-06-27
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Lane, Carolyn
Mitzy Eldridge
D: 2018-06-20
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Eldridge, Mitzy
River Hastings
B: 1996-08-29
D: 2018-06-19
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Hastings, River
Forrest Eads
B: 1921-04-01
D: 2018-06-18
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Eads, Forrest
Meda Vaughn
B: 1923-03-09
D: 2018-06-16
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Vaughn, Meda
Lisa Posey
B: 1965-07-04
D: 2018-06-11
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Posey, Lisa
Carol Powers
B: 1943-06-24
D: 2018-06-05
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Powers, Carol
Michael Goebel
B: 1952-07-17
D: 2018-05-28
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Goebel, Michael
Danita Ross
B: 1971-01-01
D: 2018-05-23
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Ross, Danita
Flora Helton
B: 1934-09-05
D: 2018-05-22
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Helton, Flora
John Goebel
B: 1948-05-22
D: 2018-05-22
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Goebel, John

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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:

Miscellaneous Notes and Instructions:

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