Obituaries

Steven Porter
B: 1960-01-10
D: 2020-04-02
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Porter, Steven
George Jaime
B: 1970-07-30
D: 2020-03-25
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Jaime, George
John Wells
B: 1939-12-26
D: 2020-03-23
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Wells, John
Ronald Hartin
B: 1930-04-08
D: 2020-03-18
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Hartin, Ronald
Christine Olsen-Hall
B: 1961-11-10
D: 2020-03-18
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Olsen-Hall, Christine
Nannette Colton
B: 1932-11-17
D: 2020-03-14
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Colton, Nannette
Shawn Batchelder
D: 2020-03-12
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Batchelder, Shawn
Beth Quint
B: 1954-06-19
D: 2020-03-11
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Quint , Beth
Dean McGinnis
B: 1932-10-04
D: 2020-03-08
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McGinnis, Dean
Wallace Tron
B: 1926-05-05
D: 2020-03-05
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Tron, Wallace
Edith Napier
B: 1932-05-15
D: 2020-03-05
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Napier , Edith
Chester Ammons
B: 1956-05-02
D: 2020-03-04
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Ammons, Chester
David Silverthorn
D: 2020-03-03
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Silverthorn, David
Marion Werth
D: 2020-02-28
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Werth, Marion
Vera Rockwell
B: 1932-11-01
D: 2020-02-27
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Rockwell, Vera
Judith Smallwood
B: 1936-01-30
D: 2020-02-21
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Smallwood, Judith
Charlene Taylor
D: 2020-02-20
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Taylor, Charlene
Jesse Davis
B: 1985-08-05
D: 2020-02-16
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Davis, Jesse
John Moakler
D: 2020-02-15
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Moakler, John
Dorothy Tebeau
B: 1929-12-02
D: 2020-02-11
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Tebeau, Dorothy
Beatrice Fraser
B: 1925-10-06
D: 2020-02-10
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Fraser, Beatrice

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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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Please place my information on file


 

 

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