Obituaries

Gordon Freeman
B: 1939-01-25
D: 2017-12-07
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Freeman, Gordon
Jessie Nowell
B: 1962-04-10
D: 2017-11-30
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Nowell, Jessie
Rita Kondy
D: 2017-11-29
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Kondy, Rita
Mancill Taylor
B: 1940-06-21
D: 2017-11-27
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Taylor, Mancill
Richard Marks
B: 1923-11-15
D: 2017-11-23
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Marks, Richard
Fern Hass
B: 1921-03-22
D: 2017-11-22
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Hass, Fern
Toke Rogers
B: 1935-10-05
D: 2017-11-20
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Rogers, Toke
Bessie Jones
B: 1931-11-19
D: 2017-11-13
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Jones, Bessie
Merlinda Faudoa
B: 1950-12-06
D: 2017-11-08
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Faudoa, Merlinda
Barbara Blackwell
B: 1948-03-23
D: 2017-11-08
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Blackwell, Barbara
Joseph Bonner
B: 1927-05-02
D: 2017-11-06
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Bonner, Joseph
Jennifer Hopper
D: 2017-11-06
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Hopper, Jennifer
Richard Parish
B: 1936-02-15
D: 2017-11-03
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Parish, Richard
Michael Rede
B: 1958-01-30
D: 2017-10-29
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Rede, Michael
Nick Castillo
D: 2017-10-25
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Castillo, Nick
Donna Mabie
B: 1935-06-01
D: 2017-10-24
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Mabie, Donna
Emma Jean Benavidez
D: 2017-10-24
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Jean Benavidez, Emma
Becky Hughes
B: 1940-04-08
D: 2017-10-21
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Hughes, Becky
Marlene Peterson
B: 1943-05-08
D: 2017-10-17
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Peterson, Marlene
Theresa Baker
B: 1957-11-29
D: 2017-10-15
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Baker, Theresa
Larry McDonald
B: 1943-02-19
D: 2017-10-11
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McDonald, Larry

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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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