Obituaries

Patricia Mallory
B: 1944-04-22
D: 2020-02-16
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Mallory, Patricia
Brenda Jones
B: 1948-06-30
D: 2020-02-16
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Jones, Brenda
Joseph Cole
B: 1950-02-05
D: 2020-02-14
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Cole, Joseph
Jane Rogers
B: 1938-10-27
D: 2020-02-11
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Rogers, Jane
Jessica Mack
B: 1992-06-09
D: 2020-02-10
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Mack, Jessica
Patricia Blasi
B: 1949-06-11
D: 2020-02-10
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Blasi, Patricia
Brittany Powell
B: 1992-09-20
D: 2020-02-07
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Powell, Brittany
Eugene Logan
B: 1929-01-19
D: 2020-02-04
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Logan, Eugene
John Jenkins
B: 1937-04-23
D: 2020-02-04
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Jenkins, John
Derek Thompson
B: 1990-07-10
D: 2020-01-29
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Thompson, Derek
Donald Dunstan
B: 1945-10-13
D: 2020-01-26
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Dunstan, Donald
Jason Gant
B: 1943-03-24
D: 2020-01-24
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Gant, Jason
Frank Darnell
B: 1957-03-13
D: 2020-01-22
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Darnell, Frank
Bettye Clifford
B: 1932-09-26
D: 2020-01-19
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Clifford, Bettye
Terry Lee
B: 2020-01-19
D: 2020-01-19
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Lee, Terry
Robin Sutherland
B: 1966-12-19
D: 2020-01-16
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Sutherland, Robin
MacKenzie Bricault
B: 2019-12-11
D: 2020-01-11
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Bricault, MacKenzie
Rodney West
B: 1964-04-14
D: 2020-01-10
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West, Rodney
Charles Moore
B: 1948-05-05
D: 2020-01-10
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Moore, Charles
Donald Buganski
B: 1929-03-22
D: 2020-01-09
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Buganski, Donald
Scott Bradford
B: 1968-11-15
D: 2020-01-07
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Bradford, Scott

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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:

Miscellaneous Notes and Instructions:

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