Obituaries

Louise Ritchie
B: 1939-12-24
D: 2017-12-13
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Ritchie, Louise
Jane "Scottie" Smith
B: 1923-05-07
D: 2017-12-13
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Smith, Jane "Scottie"
Patsy Downey
B: 1944-04-20
D: 2017-12-13
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Downey, Patsy
Otherine McCane
B: 1931-02-12
D: 2017-12-11
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McCane, Otherine
Vicki Sheppard
B: 1957-08-23
D: 2017-12-11
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Sheppard, Vicki
Constance Kuyath
B: 1931-12-24
D: 2017-12-10
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Kuyath, Constance
Henrietta Gill
B: 1923-01-16
D: 2017-12-09
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Gill, Henrietta
Michael Tippey
B: 2017-10-19
D: 2017-12-08
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Tippey, Michael
Joseph "Joe" Brookshire
B: 1950-12-23
D: 2017-12-07
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Brookshire, Joseph "Joe"
Ernest Bruce Smith
B: 1952-08-24
D: 2017-12-06
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Smith, Ernest Bruce
Dewey "Ronnie" Edwards
B: 1942-09-18
D: 2017-11-27
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Edwards, Dewey "Ronnie"
Pearlie Louise Grant
B: 1946-10-08
D: 2017-11-26
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Grant, Pearlie Louise
Kathleen Pluta
B: 1946-12-21
D: 2017-11-21
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Pluta, Kathleen
Barbara Phelps
B: 1946-09-19
D: 2017-11-21
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Phelps, Barbara
Esten Kimbel
B: 1918-08-28
D: 2017-11-18
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Kimbel, Esten
Jayden Lewis
B: 2017-07-27
D: 2017-11-18
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Lewis, Jayden
Barbara Moore
B: 1972-11-14
D: 2017-11-17
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Moore, Barbara
Hobart Hearn
B: 1929-12-03
D: 2017-11-15
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Hearn, Hobart
Randolph "Pat" Johnson
B: 1936-03-17
D: 2017-11-15
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Johnson, Randolph "Pat"
Ollie Snook
B: 1927-06-25
D: 2017-11-14
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Snook, Ollie
Stanley Pinson
B: 1960-12-28
D: 2017-11-12
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Pinson, Stanley

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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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