Obituaries

Jay Enger
B: 1947-06-05
D: 2018-09-18
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Enger, Jay
Arliss Anderson
B: 1933-12-15
D: 2018-09-18
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Anderson, Arliss
Herbert Hove
B: 1921-06-12
D: 2018-09-18
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Hove, Herbert
Curtis Auld
B: 1951-06-16
D: 2018-09-14
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Auld, Curtis
Grace Poloson
B: 1926-09-16
D: 2018-09-13
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Poloson, Grace
James Hagen
B: 1918-12-25
D: 2018-09-10
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Hagen, James
Robert Johnson
B: 1939-11-12
D: 2018-09-09
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Johnson, Robert
Stephen Lackey
B: 1953-08-04
D: 2018-09-09
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Lackey, Stephen
Jazmin Auld
B: 1994-05-20
D: 2018-09-06
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Auld, Jazmin
James Hayes
B: 1930-06-26
D: 2018-09-02
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Hayes, James
Edward Auld
B: 1945-02-25
D: 2018-09-01
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Auld, Edward
Crystal Dionne
B: 1967-09-18
D: 2018-08-31
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Dionne, Crystal
Azaria Vaska
B: 2018-07-24
D: 2018-08-23
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Vaska, Azaria
Russell Plum
B: 1954-06-21
D: 2018-08-18
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Plum, Russell
Oscar Peterson
B: 1943-04-18
D: 2018-08-13
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Peterson, Oscar
Jerry Bisson
B: 1947-08-11
D: 2018-08-11
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Bisson, Jerry
Marvel Marrinan
B: 1926-02-17
D: 2018-08-05
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Marrinan, Marvel
Victor Vanderburg
B: 1941-10-29
D: 2018-07-25
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Vanderburg, Victor
David Nowotny
B: 1949-09-18
D: 2018-07-24
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Nowotny, David
Susan Rodgers
B: 1950-03-16
D: 2018-07-23
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Rodgers, Susan
Faye Peterson
B: 1931-11-20
D: 2018-07-17
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Peterson, Faye

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Polson, MT 59860
Phone: 406-883-2808
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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