Obituaries

Mae Burchman
D: 2020-04-04
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Burchman, Mae
Mary Paustian
B: 1938-07-19
D: 2020-04-03
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Paustian, Mary
James Smith
B: 1935-12-25
D: 2020-04-02
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Smith, James
J.C. Turner
B: 1932-11-27
D: 2020-04-01
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Turner, J.C.
Ruby Singel
B: 1924-01-09
D: 2020-03-27
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Singel, Ruby
Charles Richardson
B: 1936-09-27
D: 2020-03-27
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Richardson, Charles
Larry Muehlbrandt
B: 1943-11-30
D: 2020-03-23
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Muehlbrandt, Larry
Emily Smith
B: 2008-08-30
D: 2020-03-23
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Smith, Emily
Matthew Paruszkiewicz
B: 1977-06-22
D: 2020-03-18
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Paruszkiewicz, Matthew
Norene Johnson
D: 2020-03-15
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Johnson, Norene
Marjie Eckhout
B: 1925-06-25
D: 2020-03-14
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Eckhout, Marjie
Carol Eikhoff
B: 1929-07-15
D: 2020-03-12
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Eikhoff, Carol
James Synod
B: 1957-04-14
D: 2020-03-10
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Synod, James
Amber Hembree
B: 1989-07-14
D: 2020-03-10
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Hembree, Amber
Nye Rodriguez
B: 1992-10-29
D: 2020-03-09
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Rodriguez, Nye
Lisa Akner
B: 1963-09-16
D: 2020-03-07
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Akner, Lisa
William Hertel
B: 1942-09-30
D: 2020-03-01
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Hertel, William
Rosella Rankine
B: 1920-09-15
D: 2020-02-24
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Rankine, Rosella
William Lasure
B: 1954-05-24
D: 2020-02-24
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Lasure, William
Denise Anglin
B: 1952-12-29
D: 2020-02-23
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Anglin, Denise
Richard Miller
B: 1981-02-02
D: 2020-02-23
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Miller, Richard

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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:

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