Obituaries

Patricia Paulino - Benavente
D: 2019-11-27
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Paulino - Benavente, Patricia
Beatrice Henry
B: 1943-08-29
D: 2019-11-22
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Henry, Beatrice
Mariana Canez
B: 1955-09-25
D: 2019-10-20
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Canez, Mariana
Joshua Worthen
D: 2019-10-09
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Worthen, Joshua
Leo Senn
B: 1933-01-15
D: 2019-10-06
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Senn, Leo
Leonard Heinrichs
B: 1918-11-04
D: 2019-09-23
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Heinrichs, Leonard
Wesley Burns
D: 2019-09-21
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Burns, Wesley
Hugh Pearson
B: 1947-04-15
D: 2019-09-06
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Pearson, Hugh
Ronald Kirby
B: 1936-08-15
D: 2019-09-02
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Kirby, Ronald
Harold Jaggers
B: 1930-11-26
D: 2019-08-22
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Jaggers, Harold
Melissa Chambers
D: 2019-08-17
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Chambers, Melissa
Dennis Stewart
B: 1940-09-02
D: 2019-08-17
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Stewart, Dennis
George Oastler
B: 1944-01-22
D: 2019-08-15
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Oastler, George
Brent Cannady
B: 1982-03-01
D: 2019-08-06
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Cannady, Brent
Ritchie Hobbs
B: 1959-01-22
D: 2019-08-04
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Hobbs, Ritchie
Michael Oleson
B: 1954-10-28
D: 2019-07-25
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Oleson, Michael
Shandi Earnshaw
B: 1981-11-04
D: 2019-07-23
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Earnshaw, Shandi
Dillan Akins
B: 1994-11-23
D: 2019-07-23
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Akins, Dillan
Joshua Taylor
D: 2019-07-23
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Taylor, Joshua
Alexander Stewart
B: 1990-12-12
D: 2019-07-22
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Stewart, Alexander
Hal Williams
B: 1935-02-03
D: 2019-07-21
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Williams, Hal

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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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Please place my information on file


 

 

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