Obituaries

William Orlando
B: 1938-04-20
D: 2018-07-21
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Orlando, William
Kristen Richards
B: 1993-09-30
D: 2018-07-19
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Richards, Kristen
Belle Bevins
B: 1955-10-28
D: 2018-07-09
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Bevins, Belle
Katheryn Burnham
B: 1934-08-10
D: 2018-07-08
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Burnham, Katheryn
Wesley Gray
B: 1948-05-30
D: 2018-07-07
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Gray , Wesley
Allan Deon
B: 1949-10-14
D: 2018-07-06
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Deon, Allan
Alice Besaw
B: 1934-10-21
D: 2018-06-25
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Besaw , Alice
Albert LaBelle
B: 1935-03-19
D: 2018-06-24
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LaBelle, Albert
Albert Flubacher
B: 1928-09-17
D: 2018-06-23
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Flubacher, Albert
Bruce Bigness
B: 1952-02-07
D: 2018-06-22
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Bigness, Bruce
Norma Thomas
B: 1924-06-24
D: 2018-06-13
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Thomas, Norma
Bruce Haverstock
B: 1940-01-07
D: 2018-06-12
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Haverstock , Bruce
John Perry
B: 1949-05-20
D: 2018-06-10
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Perry, John
Maureen Lazore
B: 1961-07-12
D: 2018-06-07
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Lazore, Maureen
Ivan Dodge
B: 1955-10-09
D: 2018-06-04
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Dodge , Ivan
Cindy Young
B: 1957-01-14
D: 2018-05-31
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Young, Cindy
Julia King
B: 1940-11-15
D: 2018-05-28
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King, Julia
Robert LaValley
B: 1922-01-06
D: 2018-05-23
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LaValley, Robert
John Remington
B: 1930-04-24
D: 2018-05-22
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Remington, John
Sherwin Seymour
B: 1959-02-24
D: 2018-05-21
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Seymour, Sherwin
Benjamin Schilling
B: 1987-02-18
D: 2018-05-21
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Schilling, Benjamin

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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:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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