Obituaries

Keshna Sammy
B: 1945-06-18
D: 2017-08-19
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Sammy, Keshna
Betty Christian
B: 1935-10-21
D: 2017-08-17
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Christian, Betty
Ann Cheney
B: 1942-06-14
D: 2017-08-16
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Cheney, Ann
George Minor
B: 1927-08-23
D: 2017-08-16
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Minor, George
Mark Hedrick
B: 1968-09-23
D: 2017-08-07
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Hedrick, Mark
Colleen Sigler
B: 1951-11-19
D: 2017-08-05
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Sigler, Colleen
Katherine Kondroski
B: 1938-07-28
D: 2017-08-04
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Kondroski, Katherine
Christopher Billingsley
B: 1941-09-13
D: 2017-08-03
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Billingsley, Christopher
Catherine Lane
B: 1931-06-29
D: 2017-08-01
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Lane, Catherine
Chester Feeley
B: 1932-11-11
D: 2017-07-31
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Feeley, Chester
Brian Peace
B: 1973-11-14
D: 2017-07-29
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Peace, Brian
Jamie Gilmore
B: 1976-01-26
D: 2017-07-29
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Gilmore, Jamie
Wilford Ware
B: 1945-01-02
D: 2017-07-26
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Ware, Wilford
David Haddix
B: 1929-05-15
D: 2017-07-22
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Haddix, David
Helen Gill
B: 1921-07-16
D: 2017-07-16
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Gill, Helen
Robin Krikke
B: 1960-07-29
D: 2017-07-11
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Krikke, Robin
Maria Snyder
B: 1929-12-02
D: 2017-07-11
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Snyder, Maria
Margery Brown
B: 1931-04-27
D: 2017-07-06
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Brown, Margery
June Frasure
B: 1919-12-04
D: 2017-07-06
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Frasure, June
Mary Cash
B: 1923-04-08
D: 2017-07-04
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Cash, Mary
Evie Patterson
B: 1930-10-12
D: 2017-07-02
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Patterson, Evie

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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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