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Obituaries

Howard Haynes
B: 1937-03-13
D: 2018-11-14
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Haynes, Howard
Bonnie Collins
B: 1946-10-17
D: 2018-11-14
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Collins, Bonnie
Sheridan Jenkins
B: 1937-05-26
D: 2018-11-14
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Jenkins, Sheridan
Everett Kelly
B: 1926-09-02
D: 2018-11-13
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Kelly, Everett
Henry Berg
B: 1934-10-01
D: 2018-11-12
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Berg, Henry
Harry Hodge
B: 1923-08-30
D: 2018-11-12
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Hodge, Harry
Ola Johnson
B: 1922-06-17
D: 2018-11-10
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Johnson, Ola
Thomas Newhart
B: 1928-05-19
D: 2018-11-10
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Newhart, Thomas
Bonnie Coffman
B: 1939-04-13
D: 2018-11-08
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Coffman, Bonnie
Dorothy Crawford
B: 1928-05-01
D: 2018-11-07
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Crawford, Dorothy
Alice Green
B: 1952-02-27
D: 2018-11-07
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Green, Alice
Dorothy Andrews
B: 1930-05-10
D: 2018-11-07
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Andrews, Dorothy
Sonnonaka Tousey
B: 1989-09-07
D: 2018-11-07
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Tousey, Sonnonaka
Mamie Robinson
B: 1938-05-11
D: 2018-11-06
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Robinson, Mamie
Lora Owens
B: 1925-09-16
D: 2018-11-04
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Owens, Lora
Barbara Jean Marshall
B: 1944-09-15
D: 2018-11-04
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Marshall, Barbara Jean
Edna B. Chandler
B: 1922-08-19
D: 2018-11-03
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Chandler, Edna B.
Charles Todd
B: 1933-05-26
D: 2018-11-03
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Todd, Charles
Gary Sockness
B: 1951-05-27
D: 2018-11-03
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Sockness, Gary
Betty Smith
B: 1929-11-11
D: 2018-11-02
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Smith, Betty
Audrey Ann Wilson
B: 1935-08-02
D: 2018-11-01
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Wilson, Audrey Ann

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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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