Obituaries

Carol Rutter
B: 1939-11-04
D: 2020-07-21
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Rutter, Carol
Elizabeth Bollinger
B: 1924-11-19
D: 2020-07-09
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Bollinger, Elizabeth
Toni Blankenship
B: 1943-07-21
D: 2020-06-29
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Blankenship, Toni
Edward Sanborn
B: 1968-03-02
D: 2020-06-23
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Sanborn, Edward
Edward Sanborn
D: 2020-06-23
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Sanborn, Edward
Sandra Kurtz
B: 1942-11-04
D: 2020-06-22
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Kurtz, Sandra
Robert Travitz
B: 1932-07-09
D: 2020-06-16
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Travitz, Robert
Michelle Cox
B: 1978-08-25
D: 2020-06-10
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Cox, Michelle
Barbara DeMontravel
B: 1936-09-09
D: 2020-06-06
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DeMontravel, Barbara
Lanise Bell-Coleman
B: 1967-03-17
D: 2020-06-06
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Bell-Coleman, Lanise
Carmen Suarez
B: 1952-07-30
D: 2020-05-25
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Suarez, Carmen
Beatrice Maust
B: 1943-12-30
D: 2020-05-23
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Maust, Beatrice
William Reilly
B: 1931-01-10
D: 2020-05-18
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Reilly, William
Elizabeth McCauley
B: 1942-10-12
D: 2020-05-16
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McCauley, Elizabeth
Priscilla Kruzlic
B: 1933-10-26
D: 2020-05-13
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Kruzlic, Priscilla
Thomas Gibbs
B: 1944-08-20
D: 2020-05-12
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Gibbs, Thomas
Rachel Ford
B: 1944-12-02
D: 2020-05-07
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Ford, Rachel
Frank Bossert
B: 1935-09-07
D: 2020-04-28
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Bossert, Frank
Narcissus Brown
B: 1919-02-18
D: 2020-04-26
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Brown, Narcissus
Betty Anderson
B: 1932-05-12
D: 2020-04-22
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Anderson, Betty
Yvonne Laventure
B: 1973-03-09
D: 2020-04-17
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Laventure, Yvonne

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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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