Obituaries

Michael Doepke
B: 1964-07-23
D: 2018-04-22
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Doepke, Michael
Michael Doepke
B: 1964-07-23
D: 2018-04-22
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Doepke, Michael
Frank Morgan
B: 1938-12-28
D: 2018-04-20
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Morgan, Frank
Dorothy Oldenburg
B: 1923-05-10
D: 2018-04-19
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Oldenburg, Dorothy
Dorothy Oldenburg
B: 1923-05-10
D: 2018-04-19
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Oldenburg, Dorothy
Stanly Manhart
B: 1947-02-21
D: 2018-04-16
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Manhart, Stanly
Albert Kondroski
B: 1934-07-28
D: 2018-04-15
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Kondroski, Albert
Stephen Wilson
B: 1953-04-18
D: 2018-04-11
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Wilson, Stephen
Mary Cooper
B: 1932-03-16
D: 2018-04-04
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Cooper, Mary
Antonio Vazquez
B: 1924-10-26
D: 2018-03-29
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Vazquez, Antonio
Helen Witkowski
B: 1927-03-31
D: 2018-03-28
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Witkowski, Helen
Bonnie Cox
B: 1923-09-12
D: 2018-03-25
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Cox, Bonnie
Lillian Swift
B: 1910-12-18
D: 2018-03-21
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Swift, Lillian
Dorothy Hollingsworth
B: 1924-05-29
D: 2018-03-20
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Hollingsworth, Dorothy
Christina Vasiliades
B: 1960-06-22
D: 2018-03-17
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Vasiliades, Christina
Jimmie Belton
B: 1939-06-14
D: 2018-03-12
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Belton, Jimmie
Justin Porter
B: 1987-10-31
D: 2018-03-11
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Porter, Justin
James Crandall
B: 1947-06-03
D: 2018-03-09
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Crandall, James
Carolyn Agan
B: 1940-08-01
D: 2018-03-07
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Agan, Carolyn
Daniel Hiers
B: 1938-09-21
D: 2018-03-07
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Hiers, Daniel
Carol Fesperman
B: 1933-10-03
D: 2018-03-03
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Fesperman, Carol

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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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