Obituaries

Colleen Paris
B: 1943-01-11
D: 2018-01-14
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Paris, Colleen
Jerrell Tenas Piapot
B: 2004-11-28
D: 2018-01-14
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Tenas Piapot, Jerrell
Martha Richard
B: 1941-10-14
D: 2018-01-08
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Richard, Martha
Laura Carpentier
B: 1949-06-17
D: 2018-01-04
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Carpentier, Laura
Alice Estes
B: 1927-03-17
D: 2017-12-31
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Estes, Alice
Pearl Jackson
B: 1924-09-10
D: 2017-12-27
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Jackson, Pearl
Marie Haglund
B: 1920-01-25
D: 2017-12-26
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Haglund, Marie
Janet Harmsen
B: 1952-08-25
D: 2017-12-26
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Harmsen, Janet
Joseph Johns
B: 1959-04-28
D: 2017-12-23
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Johns, Joseph
Edward Holland
B: 1945-01-04
D: 2017-12-20
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Holland, Edward
Shirley Beck
B: 1920-03-03
D: 2017-12-19
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Beck, Shirley
Wilbert Weaver
B: 1924-05-14
D: 2017-12-19
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Weaver, Wilbert
Paul Doolittle
B: 1932-03-18
D: 2017-12-18
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Doolittle, Paul
Helen Charlo
B: 1917-06-07
D: 2017-12-13
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Charlo, Helen
Michael Brownfield
B: 1965-02-06
D: 2017-12-11
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Brownfield, Michael
Irene McAllister
B: 1932-00-00
D: 2017-12-04
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McAllister, Irene
Amy Shill
B: 1927-11-03
D: 2017-12-01
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Shill, Amy
Marlene Skalsky
B: 1939-02-03
D: 2017-12-01
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Skalsky, Marlene
Margaret Mesick
B: 1925-04-12
D: 2017-12-01
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Mesick, Margaret
Thomas Devlin
B: 1950-11-02
D: 2017-11-30
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Devlin, Thomas
Gerald Keniston
B: 1949-05-01
D: 2017-11-26
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Keniston, Gerald

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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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