Obituaries

Elmer Bailey
B: 1933-09-28
D: 2015-08-26
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Bailey, Elmer
Otto Grosse
B: 1924-02-06
D: 2015-08-13
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Grosse, Otto
Linda Rambo
B: 1952-02-28
D: 2015-07-28
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Rambo, Linda
Geraldine Bogart
B: 1934-02-27
D: 2015-07-25
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Bogart, Geraldine
Mildred Elvin
B: 1922-08-22
D: 2015-07-17
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Elvin, Mildred
Phyllis Laskey
B: 1934-07-02
D: 2015-07-17
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Laskey, Phyllis
Benny Krise
B: 1981-05-11
D: 2015-07-16
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Krise, Benny
William Freeman
B: 1963-05-03
D: 2015-07-14
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Freeman, William
Michael Smith
B: 1984-01-20
D: 2015-07-12
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Smith, Michael
Dr. Gwendolyn Roquemore
D: 2015-07-11
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Roquemore, Dr. Gwendolyn
Mildred Shamanore
B: 1927-09-24
D: 2015-07-10
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Shamanore, Mildred
Angelina Tomas
B: 2007-02-02
D: 2015-07-07
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Tomas, Angelina
Steven Snook
B: 1969-06-30
D: 2015-07-06
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Snook, Steven
Linda Wiles
B: 1951-10-13
D: 2015-07-01
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Wiles, Linda
Lucille Cooke
B: 1929-06-04
D: 2015-06-29
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Cooke, Lucille
Richard Howell
B: 1960-08-30
D: 2015-06-28
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Howell, Richard
Martha Potter
B: 1932-10-02
D: 2015-06-27
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Potter, Martha
Joseph Wall
B: 1955-02-13
D: 2015-06-26
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Wall, Joseph
Stephen Ehasz
B: 1977-04-21
D: 2015-06-24
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Ehasz, Stephen
Kathleen Smith
B: 1932-04-20
D: 2015-06-21
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Smith, Kathleen
Louis Oberman
B: 1946-04-21
D: 2015-06-21
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Oberman, Louis

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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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