Obituaries

John Ferwerda
B: 1925-05-18
D: 2019-05-21
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Ferwerda, John
Phyllis (Chambers) Thompson
B: 1931-03-02
D: 2019-05-20
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Thompson, Phyllis (Chambers)
William Weatherbee
B: 1957-04-17
D: 2019-05-19
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Weatherbee, William
Charles L. "Skip" Harris, Jr.
B: 1948-02-23
D: 2019-05-18
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Harris, Jr., Charles L. "Skip"
Jean C. Megquier
B: 1928-08-21
D: 2019-05-18
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Megquier, Jean C.
Marice Arnold
B: 1926-02-16
D: 2019-05-17
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Arnold, Marice
Linda Harnum
B: 1941-11-16
D: 2019-05-17
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Harnum, Linda
Carol White
B: 1928-06-27
D: 2019-05-17
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White, Carol
Virginia Rae Mallory
B: 1933-11-24
D: 2019-05-16
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Mallory, Virginia Rae
Kelly Cassum
B: 1968-07-23
D: 2019-05-16
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Cassum, Kelly
Shirley Wozneak
D: 2019-05-16
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Wozneak, Shirley
Frank Mayhew
B: 1961-11-29
D: 2019-05-15
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Mayhew, Frank
Janice Bennett
B: 1936-11-09
D: 2019-05-15
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Bennett, Janice
Lester Young
B: 1941-12-08
D: 2019-05-15
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Young, Lester
Eileen Cox
B: 1922-05-24
D: 2019-05-14
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Cox, Eileen
Pamela Martin
B: 1950-12-14
D: 2019-05-14
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Martin, Pamela
Barbara Wilson
B: 1926-10-29
D: 2019-05-12
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Wilson, Barbara
James W. Rawcliffe
B: 1939-03-27
D: 2019-05-11
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Rawcliffe, James W.
Ashel MacDonald
B: 1931-12-01
D: 2019-05-09
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MacDonald, Ashel
Lawrence Frederick Plaisted
B: 1941-02-07
D: 2019-05-08
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Plaisted, Lawrence Frederick
Melvin McClure
B: 1930-04-02
D: 2019-05-08
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McClure, Melvin

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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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