Obituaries

Linda Talley
B: 1962-01-29
D: 2019-06-25
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Talley, Linda
Patricia Fears
B: 1954-10-19
D: 2019-06-19
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Fears, Patricia
Milton Kuzma
B: 1940-08-30
D: 2019-06-19
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Kuzma, Milton
Norma King
B: 1947-01-17
D: 2019-06-18
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King, Norma
Oza Williams
B: 1928-12-06
D: 2019-06-15
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Williams, Oza
Clyde Marler
B: 1945-04-03
D: 2019-06-12
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Marler, Clyde
Don Polk
B: 1933-06-26
D: 2019-06-12
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Polk, Don
Wanda Cheney
B: 1931-10-20
D: 2019-06-09
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Cheney, Wanda
Lawrence Beckwith
B: 1962-02-27
D: 2019-06-07
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Beckwith, Lawrence
Peggy Pierce
B: 2019-09-22
D: 2019-06-05
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Pierce, Peggy
Bobby Owens
B: 1942-06-22
D: 2019-06-03
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Owens, Bobby
Mark Luke
B: 1960-10-13
D: 2019-06-02
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Luke, Mark
Glenn Cook
B: 1937-02-05
D: 2019-05-31
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Cook, Glenn
Pearl Burks
B: 1935-07-18
D: 2019-05-24
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Burks, Pearl
Judy Dean
B: 1949-08-27
D: 2019-05-21
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Dean, Judy
Leslie Waltman
B: 1942-12-29
D: 2019-05-19
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Waltman, Leslie
Charles Miller Sr.
B: 1923-01-18
D: 2019-05-17
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Miller Sr., Charles
Helen Cole
B: 1925-02-14
D: 2019-05-11
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Cole, Helen
Thelma Moore
B: 1920-10-07
D: 2019-05-08
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Moore, Thelma
Georgia Malone
D: 2019-05-08
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Malone, Georgia
Pamela Janecek
B: 1956-06-08
D: 2019-05-05
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Janecek, Pamela

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Piedmont, MO 63957
Phone: 573-223-4242
Fax: 573-223-2853

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Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.


I. Biographical Information
Full Name:
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 You In Death
Your 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:

Please select one of the options below:

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Please place my information on file