Obituaries

Virgie Hughes
B: 1923-08-20
D: 2019-01-18
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Hughes, Virgie
Michael Rudnicki
B: 1952-11-09
D: 2019-01-07
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Rudnicki, Michael
Randal Thompson
B: 1958-06-28
D: 2019-01-06
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Thompson, Randal
Guy Stevenson
D: 2019-01-04
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Stevenson, Guy
Helen Castile
B: 1929-08-13
D: 2019-01-01
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Castile, Helen
Danny Duncan
B: 1951-01-04
D: 2019-01-01
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Duncan, Danny
John Boyer
B: 1924-12-15
D: 2018-12-31
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Boyer, John
Doris Wiegand
B: 1938-07-31
D: 2018-12-29
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Wiegand, Doris
Rex Gardner
D: 2018-12-26
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Gardner, Rex
Barbara Osborn
B: 1939-02-11
D: 2018-12-25
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Osborn, Barbara
Harriett Clay
B: 1926-08-05
D: 2018-12-24
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Clay, Harriett
Evelyn Allen
B: 1919-07-29
D: 2018-12-22
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Allen, Evelyn
Timothy Smith
B: 1954-08-12
D: 2018-12-19
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Smith, Timothy
Verlina Middleton
B: 1940-07-17
D: 2018-12-11
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Middleton, Verlina
Deloris "Eads" Ramsey
B: 1936-10-28
D: 2018-12-10
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"Eads" Ramsey, Deloris
Mildred Hill
B: 1937-12-10
D: 2018-12-06
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Hill, Mildred
Elizabeth Smith
B: 2018-04-18
D: 2018-11-29
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Smith, Elizabeth
Vernon Sutton
B: 1933-08-10
D: 2018-11-28
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Sutton, Vernon
Oval Parker
B: 1921-09-19
D: 2018-11-22
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Parker, Oval
Wayne Rickman
B: 1957-11-22
D: 2018-11-15
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Rickman, Wayne
Luke Reed
B: 2018-10-03
D: 2018-11-06
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Reed, Luke

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Phone: 573-223-4242
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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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