Obituaries

Norma Shaw
B: 1927-04-01
D: 2018-05-20
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Shaw, Norma
Roger Whitehead
B: 1931-06-10
D: 2018-05-18
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Whitehead, Roger
Beverly Ann Hollis
B: 1940-07-26
D: 2018-05-17
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Hollis, Beverly Ann
Bertha Williams
B: 1921-07-22
D: 2018-05-13
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Williams, Bertha
Alexander "Sandy" Stymiest
B: 1931-05-31
D: 2018-05-13
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Stymiest, Alexander "Sandy"
Nelson Violette
B: 1946-06-28
D: 2018-05-13
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Violette, Nelson
Reginald Richards
B: 1930-05-06
D: 2018-05-12
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Richards, Reginald
Sienna Probert
B: 2000-08-21
D: 2018-05-11
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Probert, Sienna
Raymond Stout
B: 1936-03-17
D: 2018-05-10
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Stout, Raymond
Ruth Chethik
B: 1918-09-16
D: 2018-05-09
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Chethik, Ruth
Marshall Thompson
B: 1949-09-10
D: 2018-05-07
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Thompson, Marshall
Michael McNamara
B: 1949-02-14
D: 2018-05-07
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McNamara, Michael
Mark Allard
B: 1975-04-20
D: 2018-05-06
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Allard, Mark
Laurie May Stewart
B: 1961-08-05
D: 2018-05-06
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Stewart, Laurie May
Clyde Berry
B: 1946-12-28
D: 2018-05-05
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Berry, Clyde
David Lawler
B: 1942-08-30
D: 2018-05-04
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Lawler, David
Wayne Hallett
B: 1953-11-24
D: 2018-05-03
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Hallett, Wayne
Benjamin M. Isaacs
B: 1937-06-06
D: 2018-05-02
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Isaacs, Benjamin M.
Stanley Robert Bridges
B: 1932-05-02
D: 2018-05-01
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Bridges, Stanley Robert
Wilma Miller
B: 2028-07-05
D: 2018-05-01
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Miller, Wilma
Fred Samuel Norris
B: 1935-02-17
D: 2018-04-28
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Norris, Fred Samuel

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I. Biographical Information
Full Name:
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 You In Death            
Your 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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