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Obituaries

John Bilbrey
B: 1946-06-23
D: 2019-03-22
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Bilbrey, John
Linda Meiter
B: 1946-03-25
D: 2019-03-22
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Meiter, Linda
Kenneth Green
B: 1933-03-18
D: 2019-03-22
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Green, Kenneth
Bruton Clark
B: 1963-08-27
D: 2019-03-22
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Clark, Bruton
Peggy Dempster Gibson
B: 1935-01-13
D: 2019-03-21
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Gibson, Peggy Dempster
Edmund LaClair
B: 1943-05-31
D: 2019-03-20
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LaClair, Edmund
Erik Dunn
B: 1972-03-09
D: 2019-03-18
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Dunn, Erik
Kevin Dome
B: 1954-08-22
D: 2019-03-18
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Dome, Kevin
Gertrude Austin
B: 1930-12-24
D: 2019-03-17
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Austin, Gertrude
Michael Glazier
B: 1927-09-28
D: 2019-03-17
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Glazier, Michael
Gordon Flynn
B: 1931-07-31
D: 2019-03-17
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Flynn, Gordon
Gertrude Austin
B: 1930-12-24
D: 2019-03-17
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Austin, Gertrude
Roger Graves
B: 1951-05-09
D: 2019-03-16
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Graves, Roger
Mary-Ellen Smith
B: 1956-10-04
D: 2019-03-16
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Smith, Mary-Ellen
Phyllis Haight
B: 1927-03-10
D: 2019-03-16
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Haight, Phyllis
Wanda Marsh
B: 1937-10-14
D: 2019-03-16
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Marsh, Wanda
Mary Ainsworth
B: 1937-03-01
D: 2019-03-15
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Ainsworth, Mary
Mary Burk
B: 1943-07-15
D: 2019-03-14
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Burk, Mary
Louis Toler
B: 1964-03-12
D: 2019-03-14
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Toler, Louis
Carl Weicht
B: 1929-05-10
D: 2019-03-14
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Weicht, Carl
Michael Haybron
B: 1974-04-12
D: 2019-03-14
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Haybron, 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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