Obituaries

Earle Burgess
B: 1931-05-04
D: 2019-04-24
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Burgess, Earle
Norma Fogg
B: 1949-03-04
D: 2019-04-24
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Fogg, Norma
Linda Tompkins
B: 1946-02-05
D: 2019-04-22
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Tompkins, Linda
Peggy-Ann Estes
B: 1931-02-17
D: 2019-04-21
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Estes, Peggy-Ann
Joseph Charles Mizda
B: 1931-10-08
D: 2019-04-21
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Mizda, Joseph Charles
Mary Kelley
B: 1941-01-22
D: 2019-04-20
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Kelley, Mary
Joyce Mayer
B: 1926-09-08
D: 2019-04-19
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Mayer, Joyce
Jeanette Taylor
B: 1924-06-23
D: 2019-04-19
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Taylor, Jeanette
Martina Morley
B: 1967-10-11
D: 2019-04-19
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Morley, Martina
Gary Hussey
B: 1942-05-11
D: 2019-04-18
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Hussey, Gary
Randel Miles White
B: 1957-03-24
D: 2019-04-17
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White, Randel Miles
Robert Curtis
B: 1961-08-20
D: 2019-04-17
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Curtis, Robert
Sumner Pinkham
B: 1932-02-29
D: 2019-04-13
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Pinkham, Sumner
Richard E. Burr
B: 1961-09-29
D: 2019-04-11
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Burr, Richard E.
Harold Daniel
B: 1953-11-02
D: 2019-04-11
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Daniel, Harold
Mildred Kinens
B: 1930-06-12
D: 2019-04-11
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Kinens, Mildred
Carl Kosobud
B: 1927-10-07
D: 2019-04-08
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Kosobud, Carl
Judith Bryant
B: 1940-02-01
D: 2019-04-06
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Bryant, Judith
Judy Hanscom
B: 1947-04-17
D: 2019-04-06
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Hanscom, Judy
Ladonna Cross
B: 1941-03-01
D: 2019-04-04
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Cross, Ladonna
Sharon Millett
B: 1943-08-05
D: 2019-04-04
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Millett, Sharon

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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:
   
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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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