Obituaries

Paul Falkenburg
B: 1949-05-11
D: 2021-04-20
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Falkenburg, Paul
Carl Henry Mason
B: 1957-06-26
D: 2021-04-18
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Mason, Carl Henry
Robert King
B: 1950-04-21
D: 2021-04-18
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King, Robert
Marie Ritchie
B: 1937-02-25
D: 2021-04-15
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Ritchie, Marie
Susan Jewell
B: 1954-11-10
D: 2021-04-13
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Jewell, Susan
Marilyn Fogg
B: 1933-08-04
D: 2021-04-12
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Fogg, Marilyn
Joseph Weisheit
B: 1939-07-06
D: 2021-04-11
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Weisheit, Joseph
Blanche Johnson
B: 1941-02-25
D: 2021-04-10
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Johnson, Blanche
Dennis Gendron
B: 1957-11-27
D: 2021-04-09
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Gendron, Dennis
Shirley Trask
B: 1934-06-10
D: 2021-04-07
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Trask, Shirley
Adam Lane
B: 1981-12-28
D: 2021-04-06
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Lane, Adam
Irene Johnson
B: 1945-11-10
D: 2021-04-06
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Johnson, Irene
Doris Allen
B: 1937-08-02
D: 2021-04-05
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Allen, Doris
Warren A. Mitchell
B: 1945-08-13
D: 2021-04-03
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Mitchell, Warren A.
Christopher Murphy
B: 2016-07-08
D: 2021-04-02
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Murphy, Christopher
Douglas Collenburg
B: 1956-10-16
D: 2021-03-31
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Collenburg, Douglas
Judith Bragdon
B: 1947-10-04
D: 2021-03-31
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Bragdon, Judith
Robert "Bob" Oglesby
B: 1953-06-10
D: 2021-03-31
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Oglesby, Robert "Bob"
Noreen Rossignol
B: 1939-09-10
D: 2021-03-30
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Rossignol, Noreen
James P. Kelley, Jr.
B: 1941-03-05
D: 2021-03-30
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Kelley, Jr., James P.
Charlotte Agnes Buswell
B: 1927-06-21
D: 2021-03-29
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Buswell, Charlotte Agnes

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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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