Obituaries

William White
B: 1946-05-09
D: 2017-05-24
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White , William
Amelia Weems
B: 1922-11-03
D: 2017-05-21
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Weems, Amelia
Elizabeth Beha
B: 1932-01-20
D: 2017-05-18
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Beha, Elizabeth
Richard Kimball
B: 1927-01-10
D: 2017-05-17
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Kimball, Richard
Hugh McElheran
B: 1931-04-20
D: 2017-05-17
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McElheran, Hugh
Alice King
B: 1920-11-03
D: 2017-05-16
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King , Alice
Christopher Martinez
B: 1970-05-22
D: 2017-05-16
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Martinez, Christopher
Esther Burnham
B: 1917-10-05
D: 2017-05-12
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Burnham, Esther
Hattie Bashaw
B: 1958-10-15
D: 2017-05-11
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Bashaw, Hattie
Kathy Lanning
B: 1961-12-24
D: 2017-05-10
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Lanning, Kathy
Thomas Sunday
B: 1962-07-30
D: 2017-05-10
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Sunday, Thomas
Francine Pomainville
B: 1947-06-07
D: 2017-05-09
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Pomainville, Francine
Donald Burlingame
B: 1930-10-27
D: 2017-05-09
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Burlingame, Donald
Paul Fleury
B: 1929-11-13
D: 2017-05-03
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Fleury, Paul
Kenneth Reid
B: 1959-04-03
D: 2017-05-02
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Reid, Kenneth
Richard Ward
B: 1942-02-19
D: 2017-04-29
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Ward, Richard
Gary Sanford
B: 1946-09-14
D: 2017-04-28
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Sanford, Gary
David Mitchell
B: 1955-10-11
D: 2017-04-24
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Mitchell, David
Gerald Snyder
B: 1947-04-27
D: 2017-04-20
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Snyder, Gerald
Mildred Sachs
B: 1922-01-04
D: 2017-04-19
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Sachs, Mildred
Dulcie Bradley
B: 1927-05-27
D: 2017-04-17
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Bradley, Dulcie

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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:
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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

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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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