Obituaries

Annunda Sutton
B: 1927-11-27
D: 2017-12-14
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Sutton, Annunda
Edward Hodge
B: 1953-10-12
D: 2017-12-13
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Hodge, Edward
Syble Hillis
B: 1939-03-30
D: 2017-12-12
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Hillis, Syble
Dixie McSpadden
B: 1928-09-19
D: 2017-12-07
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McSpadden, Dixie
Joan Thompson
B: 1933-12-09
D: 2017-12-06
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Thompson, Joan
Nelma McCormack
B: 1948-09-05
D: 2017-12-06
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McCormack, Nelma
Cecil Wyatt
B: 1957-08-08
D: 2017-12-04
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Wyatt, Cecil
Michael Marler
B: 1969-04-10
D: 2017-12-02
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Marler, Michael
Carole Berry
B: 1951-09-30
D: 2017-11-26
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Berry, Carole
Leila Eaton
B: 1926-04-05
D: 2017-11-25
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Eaton, Leila
Clyde Clubb
B: 1923-05-18
D: 2017-11-22
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Clubb, Clyde
Carol Browne
B: 1943-11-26
D: 2017-11-21
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Browne, Carol
Antha Condray
B: 1944-10-02
D: 2017-11-19
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Condray, Antha
Norma Brown
B: 1932-01-03
D: 2017-11-17
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Brown, Norma
James Kullman
B: 1938-02-27
D: 2017-11-16
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Kullman, James
Lillian Eaton
B: 1927-03-17
D: 2017-11-11
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Eaton, Lillian
Margaret Schubert
B: 1944-11-25
D: 2017-11-11
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Schubert, Margaret
McKynlee Cook
B: 2017-11-10
D: 2017-11-10
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Cook, McKynlee
Patsy Taylor
B: 1940-03-01
D: 2017-11-09
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Taylor, Patsy
Marshall "Luke" Helm
B: 1979-04-28
D: 2017-11-04
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Helm, Marshall "Luke"
Johnny Croney
B: 1971-06-14
D: 2017-11-04
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Croney, Johnny

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Phone: 573-223-4242
Fax: 573-223-2853

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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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