Obituaries

Michael Kaprow
B: 1947-05-10
D: 2018-11-16
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Kaprow, Michael
Jacqueline Ellingwood
B: 1948-03-21
D: 2018-11-15
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Ellingwood, Jacqueline
David Cutler
B: 1927-04-24
D: 2018-11-10
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Cutler, David
Stanton Beane
B: 1935-05-18
D: 2018-11-08
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Beane, Stanton
Ellen Hayes
B: 1926-07-08
D: 2018-11-07
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Hayes, Ellen
David Inman
B: 1951-01-27
D: 2018-11-06
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Inman, David
Ralph Lewis Bickford
B: 1927-09-28
D: 2018-11-05
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Bickford, Ralph Lewis
Eddie Overlock
B: 1943-03-23
D: 2018-11-04
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Overlock, Eddie
Harry Treworgy
D: 2018-11-04
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Treworgy, Harry
Ruth Barker
B: 1918-07-09
D: 2018-11-03
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Barker, Ruth
Lawrence Robinson
B: 1929-05-31
D: 2018-11-03
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Robinson, Lawrence
Marie Germaine Hafford
B: 1928-03-30
D: 2018-11-01
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Hafford, Marie Germaine
David Young
B: 1949-01-30
D: 2018-11-01
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Young, David
Drew Milliken
B: 1948-09-09
D: 2018-10-31
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Milliken, Drew
Alton Grant
B: 1927-04-20
D: 2018-10-30
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Grant, Alton
Frank Conners
B: 1933-03-23
D: 2018-10-30
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Conners, Frank
Philip E. Howard
B: 1934-07-01
D: 2018-10-28
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Howard, Philip E.
Ann Miller
B: 1929-05-14
D: 2018-10-27
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Miller, Ann
Brent Slater
B: 1947-03-10
D: 2018-10-25
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Slater, Brent
Dale Lowe
B: 1950-07-27
D: 2018-10-25
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Lowe, Dale
Timothy Michael Rice
B: 1946-12-26
D: 2018-10-25
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Rice, Timothy Michael

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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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