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Obituaries

Jacqueline Salditt
B: 1933-10-11
D: 2020-01-27
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Salditt, Jacqueline
Max Kirby
B: 1933-10-03
D: 2020-01-24
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Kirby, Max
Gloria Howard
B: 1933-05-29
D: 2020-01-23
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Howard, Gloria
Sylvia Goodson Bryan
B: 1939-09-17
D: 2020-01-22
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Goodson Bryan, Sylvia
James Law
B: 1927-03-24
D: 2020-01-21
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Law, James
Myrtice Taylor
B: 1933-10-22
D: 2020-01-21
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Taylor, Myrtice
Leslie Woolf
B: 1943-11-14
D: 2020-01-20
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Woolf, Leslie
Rodney Torrance
B: 1947-11-20
D: 2020-01-20
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Torrance, Rodney
Bascom Tucker
B: 1940-06-08
D: 2020-01-20
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Tucker, Bascom
Donald Snethkamp
B: 1921-12-07
D: 2020-01-20
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Snethkamp, Donald
Lila Walling
B: 1930-11-16
D: 2020-01-18
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Walling, Lila
Zachary Moon
B: 1987-01-15
D: 2020-01-17
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Moon, Zachary
Richard Brock
B: 1939-05-12
D: 2020-01-16
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Brock, Richard
Bonnie Barber
B: 1938-01-17
D: 2020-01-16
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Barber, Bonnie
Louise Williams
B: 1943-04-08
D: 2020-01-15
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Williams, Louise
Brian DeRoche
B: 1942-12-16
D: 2020-01-15
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DeRoche, Brian
Beatrice Lott
B: 1946-04-03
D: 2020-01-15
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Lott, Beatrice
Mary Clemmer
B: 1958-02-27
D: 2020-01-14
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Clemmer, Mary
Gertrude "Trudy" Burkhalter
B: 1946-07-12
D: 2020-01-14
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Burkhalter, Gertrude "Trudy"
Ray J. Bryan
B: 1939-04-29
D: 2020-01-14
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Bryan, Ray J.
Michael Demko
B: 1954-09-19
D: 2020-01-14
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Demko, 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:
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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

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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