Obituaries

Evelyn Herreid
B: 1939-02-08
D: 2017-08-18
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Herreid, Evelyn
Clifford Burke
B: 1949-01-22
D: 2017-08-17
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Burke, Clifford
Carl Goble
B: 1927-10-24
D: 2017-08-15
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Goble, Carl
Janet Edwards
B: 1941-10-16
D: 2017-08-14
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Edwards, Janet
Dorothy Newton
B: 1925-06-30
D: 2017-08-13
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Newton, Dorothy
June Syvrud
B: 1938-06-01
D: 2017-08-12
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Syvrud, June
Steven Burrell
B: 1948-01-24
D: 2017-08-09
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Burrell, Steven
William Gustafson
B: 1930-09-08
D: 2017-08-02
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Gustafson, William
Virgil Hess
B: 1953-11-02
D: 2017-07-30
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Hess, Virgil
Ronald Tollefson
B: 1927-11-03
D: 2017-07-24
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Tollefson, Ronald
Juanita Nobles
B: 1925-11-21
D: 2017-07-17
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Nobles, Juanita
Rosemary Fiorentino
B: 1925-05-16
D: 2017-07-16
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Fiorentino, Rosemary
Michael Hewankorn
B: 1973-05-21
D: 2017-07-16
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Hewankorn, Michael
Patricia Hutchin
B: 1942-10-19
D: 2017-07-12
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Hutchin, Patricia
Becky DePoe
B: 1953-11-23
D: 2017-07-09
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DePoe, Becky
Jerome Faber
B: 1931-05-31
D: 2017-07-08
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Faber, Jerome
Keith Nelson
B: 1931-11-28
D: 2017-07-05
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Nelson, Keith
John Gillette
B: 1954-07-26
D: 2017-07-05
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Gillette, John
George Frazier
B: 1934-08-20
D: 2017-07-05
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Frazier, George
Donna Townsend
B: 1942-08-30
D: 2017-07-04
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Townsend, Donna
Robert Trejo
B: 1978-05-11
D: 2017-07-03
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Trejo, Robert

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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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