Obituaries

Clarence Hartstrom
B: 1952-03-09
D: 2018-07-07
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Hartstrom, Clarence
Loren Dupuis
B: 1939-12-28
D: 2018-07-05
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Dupuis, Loren
Robert Gambrel
B: 1951-01-21
D: 2018-07-04
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Gambrel, Robert
David Anderson
B: 1933-01-10
D: 2018-07-02
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Anderson, David
Doris Fell
B: 1926-09-12
D: 2018-06-30
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Fell, Doris
Lynda Swartzenberger
B: 1944-06-06
D: 2018-06-26
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Swartzenberger, Lynda
O. McArthur
B: 1945-08-01
D: 2018-06-26
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McArthur, O.
Donna Whealon
B: 1952-04-11
D: 2018-06-24
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Whealon, Donna
Geraldine Bishop
B: 1940-01-03
D: 2018-06-24
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Bishop, Geraldine
David Alexander
B: 1950-03-16
D: 2018-06-17
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Alexander, David
Sylvia Lucara
B: 1922-08-08
D: 2018-06-13
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Lucara, Sylvia
Donald Forney
B: 1928-01-25
D: 2018-06-12
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Forney, Donald
Lesa Weddle
B: 1946-09-09
D: 2018-06-12
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Weddle, Lesa
Rena Lingo
B: 1932-02-13
D: 2018-06-09
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Lingo, Rena
Gary Thomas
B: 1938-05-11
D: 2018-06-04
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Thomas, Gary
Winfred Halter
B: 1923-06-09
D: 2018-06-03
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Halter, Winfred
Pamela Williams
B: 1942-05-24
D: 2018-05-30
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Williams, Pamela
William Hettich
B: 1937-04-25
D: 2018-05-28
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Hettich, William
Wanda Bennett
B: 1950-03-21
D: 2018-05-26
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Bennett, Wanda
Ann DeVoe
B: 1954-02-04
D: 2018-05-25
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DeVoe, Ann
Deanna Vassar
B: 1938-10-16
D: 2018-05-23
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Vassar, Deanna

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Polson, MT 59860
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Fax: 406-883-9216

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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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