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Obituaries

Mackey Hayden
B: 1956-02-20
D: 2020-07-15
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Hayden, Mackey
James Bishop
B: 1930-06-27
D: 2020-07-13
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Bishop, James
Fred Shaut
B: 1954-07-23
D: 2020-07-11
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Shaut, Fred
Jonathan Sumner
B: 1949-04-04
D: 2020-07-10
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Sumner, Jonathan
Edward Kuper
B: 1941-09-28
D: 2020-07-10
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Kuper, Edward
Gladys Gaskill
B: 1952-03-15
D: 2020-07-09
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Gaskill, Gladys
Rogolyn Giles
B: 1939-07-09
D: 2020-07-09
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Giles, Rogolyn
Stanwyck Byer
B: 1963-03-13
D: 2020-07-08
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Byer, Stanwyck
David Davis
B: 1956-11-30
D: 2020-07-07
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Davis, David
Carolee Bedwell
B: 1942-03-05
D: 2020-07-06
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Bedwell, Carolee
Jack Schubert
B: 1940-09-17
D: 2020-07-05
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Schubert, Jack
Nancy Taylor
B: 1931-02-17
D: 2020-07-05
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Taylor, Nancy
Dennis Monk
B: 1949-10-19
D: 2020-07-05
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Monk, Dennis
Susan Radcliff
B: 1955-09-24
D: 2020-07-05
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Radcliff, Susan
Jennifer Boyett
B: 1985-01-12
D: 2020-07-05
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Boyett, Jennifer
Charles Peters
B: 1926-06-20
D: 2020-07-04
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Peters, Charles
Michael Salas
B: 2000-02-10
D: 2020-07-04
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Salas, Michael
Mary Vanderwaal
B: 1929-12-27
D: 2020-07-03
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Vanderwaal, Mary
Mary Wexler
B: 1953-05-18
D: 2020-07-01
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Wexler, Mary
Priscilla Dean
B: 1933-01-07
D: 2020-07-01
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Dean, Priscilla
Michael Christy
B: 1940-01-26
D: 2020-07-01
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Christy, Michael

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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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