Obituaries

David Francis
B: 1961-05-08
D: 2019-04-24
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Francis, David
Eugene King
B: 2019-04-18
D: 2019-04-23
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King, Eugene
Robert Gilbert
B: 1935-01-07
D: 2019-04-21
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Gilbert, Robert
Thomas Peet
B: 1954-08-02
D: 2019-04-19
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Peet, Thomas
Reva Kelley
B: 1951-05-05
D: 2019-04-16
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Kelley, Reva
Kathy Horton
B: 1961-01-01
D: 2019-04-13
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Horton, Kathy
Dorothy Cole
B: 1933-06-27
D: 2019-04-13
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Cole, Dorothy
Timothy Brown
B: 1951-08-04
D: 2019-04-12
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Brown, Timothy
Willie Williams
B: 1930-12-05
D: 2019-04-08
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Williams, Willie
Marjorie Thompson
B: 1945-09-20
D: 2019-04-06
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Thompson, Marjorie
Raymond Kenny
B: 1933-04-12
D: 2019-04-02
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Kenny, Raymond
Charles Mossow
B: 1934-12-28
D: 2019-04-01
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Mossow, Charles
Carl Smoke
B: 1941-11-17
D: 2019-04-01
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Smoke, Carl
Paula Snow
B: 1963-02-21
D: 2019-04-01
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Snow, Paula
Walter Anderson
B: 1944-05-27
D: 2019-03-31
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Anderson, Walter
Ruby Dean
B: 1926-04-26
D: 2019-03-30
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Dean, Ruby
Florence Benedict
B: 1931-06-03
D: 2019-03-27
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Benedict, Florence
Judith Beaudoin
B: 1941-04-04
D: 2019-03-27
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Beaudoin, Judith
James Bonner
B: 1955-08-26
D: 2019-03-27
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Bonner, James
Michael Courson-Parmer
B: 2018-09-18
D: 2019-03-26
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Courson-Parmer, Michael
Mary Bruno
B: 1946-01-23
D: 2019-03-24
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Bruno, Mary

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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

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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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