Obituaries

Dale Wells
B: 1937-01-10
D: 2018-02-19
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Wells, Dale
Sharon Cook
B: 1946-11-08
D: 2018-02-19
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Cook, Sharon
Cathy Clary
B: 1958-10-21
D: 2018-02-17
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Clary, Cathy
Hiram Greene
B: 1923-02-09
D: 2018-02-11
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Greene, Hiram
Ronald Riley
B: 1941-05-17
D: 2018-02-09
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Riley, Ronald
Marvin Ward
B: 1955-05-06
D: 2018-02-08
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Ward, Marvin
Hope Cole
B: 1935-09-26
D: 2018-01-30
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Cole, Hope
Dawn Condon
B: 1962-12-28
D: 2018-01-22
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Condon, Dawn
Janet Watkins
B: 1935-04-29
D: 2018-01-20
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Watkins, Janet
Steven Zyzik
B: 1965-03-09
D: 2018-01-18
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Zyzik, Steven
Thomas Hall
B: 1945-07-09
D: 2018-01-18
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Hall, Thomas
Donna Kienzle
B: 1933-09-16
D: 2018-01-16
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Kienzle, Donna
Dianne Pike
B: 1946-06-22
D: 2018-01-16
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Pike, Dianne
Eric Collins
B: 1977-09-18
D: 2018-01-10
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Collins, Eric
Alfred Laffin
B: 1966-04-03
D: 2018-01-10
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Laffin, Alfred
Robert LaBrake
B: 1962-03-06
D: 2018-01-01
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LaBrake, Robert
Gloria Cook
B: 1938-12-16
D: 2017-12-31
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Cook, Gloria
William Vivlamore
B: 1930-05-30
D: 2017-12-31
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Vivlamore, William
Joyce Denney
B: 1933-12-19
D: 2017-12-31
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Denney, Joyce
Sally Yeddo
B: 1938-03-16
D: 2017-12-29
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Yeddo, Sally
Mary Richey
B: 1923-03-21
D: 2017-12-29
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Richey, Mary

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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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