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Obituaries

Charles Luke
B: 1941-11-20
D: 2019-08-19
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Luke, Charles
Earl Zemba
B: 1976-05-31
D: 2019-08-18
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Zemba, Earl
Florence Baer
B: 1928-08-12
D: 2019-08-17
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Baer, Florence
Dorothy Parrish
B: 1929-04-25
D: 2019-08-17
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Parrish, Dorothy
Hannah Martin
B: 1983-11-03
D: 2019-08-16
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Martin, Hannah
Mary Fogle
B: 1937-03-27
D: 2019-08-15
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Fogle, Mary
Sandra Walker
B: 1946-03-21
D: 2019-08-15
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Walker, Sandra
Theresa "Terry" G. Clemens
B: 1939-02-08
D: 2019-08-15
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Clemens, Theresa "Terry" G.
Denis Proulx
B: 1932-01-29
D: 2019-08-15
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Proulx, Denis
James R. White
B: 1938-03-27
D: 2019-08-13
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White, James R.
Phyllis Olden
B: 1937-06-25
D: 2019-08-13
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Olden, Phyllis
Gary McDuffie
B: 1953-06-07
D: 2019-08-12
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McDuffie, Gary
Laura Czapla
B: 1928-03-02
D: 2019-08-12
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Czapla, Laura
Kathy L. Mate
B: 1943-11-19
D: 2019-08-11
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Mate, Kathy L.
John Adams Hurst
B: 1938-07-18
D: 2019-08-10
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Hurst, John Adams
Donald King
B: 1952-02-14
D: 2019-08-10
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King, Donald
Christine M. McCarty
B: 1948-12-20
D: 2019-08-10
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McCarty, Christine M.
Jeffrey Martin Keown
B: 1969-06-09
D: 2019-08-10
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Keown, Jeffrey Martin
John Leininger
B: 1953-02-11
D: 2019-08-08
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Leininger, John
Nancy Smith
B: 1944-10-13
D: 2019-08-08
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Smith, Nancy
Helen Marsh
B: 1938-03-30
D: 2019-08-08
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Marsh, Helen

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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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