Obituaries

Ima Templeton
B: 1948-05-11
D: 2019-04-22
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Templeton, Ima
Michael Gerald
B: 1953-01-22
D: 2019-04-19
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Gerald, Michael
James Cannon
D: 2019-04-18
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Cannon, James
Lawrence Schemansky
B: 1954-10-15
D: 2019-04-17
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Schemansky, Lawrence
Gerald McCalley
B: 1933-11-02
D: 2019-04-15
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McCalley, Gerald
Michael Foster
B: 1941-10-30
D: 2019-04-12
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Foster, Michael
James Shoults
B: 1946-01-15
D: 2019-04-12
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Shoults, James
Edna Saier
B: 1949-05-13
D: 2019-04-05
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Saier, Edna
Thelma Smith
B: 1926-02-07
D: 2019-04-04
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Smith, Thelma
Susan Kloosterboer
B: 1957-06-12
D: 2019-04-04
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Kloosterboer, Susan
Henry Richter
B: 1930-10-24
D: 2019-03-29
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Richter, Henry
Arden Licht
B: 1931-06-03
D: 2019-03-28
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Licht, Arden
Richard Robertson
B: 1932-11-10
D: 2019-03-27
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Robertson, Richard
Matthew Steffen
B: 1963-12-16
D: 2019-03-27
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Steffen, Matthew
Mary Costa
B: 1939-03-24
D: 2019-03-25
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Costa, Mary
Michael Williams
B: 1968-10-07
D: 2019-03-25
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Williams, Michael
Nancy Riegel
B: 1937-12-01
D: 2019-03-20
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Riegel, Nancy
Luke Weiss
B: 2019-03-18
D: 2019-03-19
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Weiss, Luke
Maureen Vandenabeele
B: 1952-06-14
D: 2019-03-17
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Vandenabeele, Maureen
Nate Gray
B: 1932-09-24
D: 2019-03-15
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Gray, Nate
Sharon Hemmen
B: 1957-10-05
D: 2019-03-13
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Hemmen, Sharon

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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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