Obituaries

Lonnie Comstock
B: 1953-07-30
D: 2020-03-28
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Comstock, Lonnie
Mark Pounds
B: 1990-02-26
D: 2020-03-24
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Pounds, Mark
Thomas Gassler
B: 1958-04-19
D: 2020-03-07
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Gassler, Thomas
Robert Smith
D: 2020-02-27
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Smith, Robert
William Alston
B: 1948-09-08
D: 2020-02-23
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Alston, William
Jeff Ashmore
B: 1931-11-28
D: 2020-02-15
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Ashmore, Jeff
Robert Doughty
B: 1947-03-04
D: 2020-02-12
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Doughty, Robert
Charlotte Fowler
B: 1962-07-01
D: 2020-02-09
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Fowler, Charlotte
Gladys Clark
B: 1932-10-25
D: 2020-02-03
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Clark, Gladys
Delbert Sanford
B: 1933-04-21
D: 2020-02-01
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Sanford, Delbert
Ruperto Banuelos Jr.
B: 1986-05-07
D: 2020-01-21
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Banuelos Jr., Ruperto
Peggy Myers
B: 1949-10-21
D: 2020-01-06
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Myers, Peggy
HARRY KEMPKA
B: 1930-10-28
D: 2020-01-05
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KEMPKA, HARRY
Vera Stephens
B: 1922-04-22
D: 2020-01-02
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Stephens, Vera
Clifford Vance
B: 1959-04-05
D: 2020-01-01
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Vance, Clifford
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
Gilbert Brown
B: 1943-07-24
D: 2019-11-20
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Brown, Gilbert
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

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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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