Obituaries

Diana Roett
B: 1922-09-27
D: 2017-04-15
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Roett, Diana
Miriam Thiems
B: 1924-05-31
D: 2017-04-14
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Thiems, Miriam
Ronald Bright
B: 1931-12-16
D: 2017-04-14
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Bright, Ronald
Thomas Bragers
B: 1951-10-04
D: 2017-04-13
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Bragers, Thomas
Elizabeth DeLanoy
B: 1925-04-04
D: 2017-04-12
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DeLanoy, Elizabeth
Daniel Kearns
B: 1956-08-27
D: 2017-04-10
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Kearns, Daniel
Doyle Langford
B: 1936-12-31
D: 2017-03-29
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Langford, Doyle
Judy Swindel
D: 2017-03-28
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Swindel, Judy
Anne Farmer
B: 1936-03-19
D: 2017-03-24
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Farmer, Anne
Hazel DeFriese
B: 1928-12-19
D: 2017-03-23
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DeFriese, Hazel
Evelyn Ryals
B: 1921-02-06
D: 2017-03-21
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Ryals, Evelyn
Betty Morris
B: 1939-03-03
D: 2017-03-21
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Morris, Betty
William Mullin
B: 1968-07-18
D: 2017-03-18
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Mullin, William
John Lerew
B: 1967-12-13
D: 2017-03-16
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Lerew, John
George McElroy
B: 1952-04-22
D: 2017-03-15
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McElroy, George
Elvia Register
B: 1930-10-12
D: 2017-03-13
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Register, Elvia
Annie Talley
B: 1928-03-06
D: 2017-03-13
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Talley, Annie
Benedetta Riccobono
B: 1926-06-06
D: 2017-03-10
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Riccobono, Benedetta
Michael Guardino
B: 1994-05-17
D: 2017-03-05
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Guardino, Michael
Anthony Welch
B: 1935-08-28
D: 2017-03-01
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Welch, Anthony
William DeNight
B: 1934-02-12
D: 2017-02-28
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DeNight, William

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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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