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Obituaries

Warneta Farmer
B: 1930-08-20
D: 2019-01-15
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Farmer, Warneta
Roberto Zapata
B: 1959-01-01
D: 2019-01-14
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Zapata, Roberto
Louise Anderson
B: 1929-06-11
D: 2019-01-14
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Anderson, Louise
Jerry Warren
B: 1944-08-31
D: 2019-01-13
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Warren, Jerry
Helen Cisney
B: 1914-11-22
D: 2019-01-13
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Cisney, Helen
Austin Craig
B: 1994-04-29
D: 2019-01-13
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Craig, Austin
Cecil Bedford
B: 1945-07-15
D: 2019-01-11
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Bedford, Cecil
Michael Jasmanki
B: 1941-06-17
D: 2019-01-11
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Jasmanki, Michael
Audrey Oliver
B: 1964-01-14
D: 2019-01-11
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Oliver, Audrey
Harvey Harnage
B: 1934-10-04
D: 2019-01-11
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Harnage, Harvey
Marty Jones
B: 1958-06-26
D: 2019-01-11
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Jones, Marty
David Lee
B: 1963-05-15
D: 2019-01-10
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Lee, David
Denise Danner
B: 1954-10-04
D: 2019-01-09
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Danner, Denise
Jacqueline Ayres
B: 1940-08-17
D: 2019-01-08
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Ayres, Jacqueline
Delois McCurdy
B: 1934-05-15
D: 2019-01-07
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McCurdy, Delois
Patricia Fowler
B: 1937-07-17
D: 2019-01-06
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Fowler, Patricia
Bruce Raymond Wetzel
B: 1941-04-09
D: 2019-01-06
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Wetzel, Bruce Raymond
Gerald D "Jerry" Hubbard
B: 1934-05-25
D: 2019-01-06
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Hubbard, Gerald D "Jerry"
Arthur Wells
B: 1933-04-15
D: 2019-01-06
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Wells, Arthur
Barbara Dixon
B: 1947-11-12
D: 2019-01-06
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Dixon, Barbara
Dorothy Krawczyk
B: 1927-06-07
D: 2019-01-06
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Krawczyk, Dorothy

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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:

Miscellaneous Notes and Instructions:

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