Obituaries

Thomas Paine
B: 1940-01-11
D: 2018-09-27
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Paine, Thomas
Edith Gibbons
B: 1935-11-03
D: 2018-09-19
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Gibbons, Edith
Merritt Hayden, Sr.
B: 1937-02-07
D: 2018-09-18
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Hayden, Sr., Merritt
Tressa G. Nelson
B: 1937-08-18
D: 2018-09-18
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Nelson, Tressa G.
James Catlett
B: 1935-10-20
D: 2018-09-18
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Catlett, James
Clarence and Patricia Snyder
D: 2018-09-17
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Snyder, Clarence and Patricia
Phyllis Smith
B: 1922-05-29
D: 2018-09-14
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Smith, Phyllis
Ruth Torrey
B: 1934-12-21
D: 2018-09-14
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Torrey, Ruth
Jonathan Haws
B: 1992-07-25
D: 2018-09-14
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Haws, Jonathan
Walter Whitney
B: 1937-07-08
D: 2018-09-12
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Whitney, Walter
Geraldine Look
B: 1920-11-11
D: 2018-09-11
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Look, Geraldine
Edna Smith
B: 1926-09-11
D: 2018-09-10
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Smith, Edna
Evelyn Cook
B: 1928-04-02
D: 2018-09-08
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Cook, Evelyn
Anita McGarry
B: 1927-12-05
D: 2018-09-07
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McGarry, Anita
Carolyn Brown
B: 1921-04-30
D: 2018-09-07
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Brown, Carolyn
Herbert Cowan
B: 1924-11-09
D: 2018-09-06
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Cowan, Herbert
Jane Knight
B: 1924-12-23
D: 2018-09-06
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Knight, Jane
Leona M. Ward
B: 1931-04-04
D: 2018-09-06
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Ward, Leona M.
John H. Dunning
B: 1936-09-10
D: 2018-09-05
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Dunning, John H.
Shirley Tracy
B: 1935-04-23
D: 2018-09-05
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Tracy, Shirley
Jean Truitt
B: 1933-09-12
D: 2018-08-30
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Truitt, Jean

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I. Biographical Information
Full Name:
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 You In Death            
Your 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:
         

Miscellaneous Notes and Instructions:

         

             

       

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