Obituaries

Allen Twomey
B: 1949-07-19
D: 2021-04-11
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Twomey, Allen
Tony Camp
B: 1970-01-01
D: 2021-04-07
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Camp, Tony
Ernest Ware
B: 1964-02-07
D: 2021-03-29
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Ware, Ernest
Mary Collins
B: 1948-06-27
D: 2021-03-29
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Collins, Mary
Richard Perry
B: 1962-08-29
D: 2021-03-06
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Perry, Richard
Ella Jones
B: 1933-03-16
D: 2021-03-04
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Jones, Ella
Maria Meras
B: 1951-05-02
D: 2021-02-25
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Meras, Maria
Gurland Jordan
B: 1961-08-19
D: 2021-02-19
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Jordan, Gurland
Walter Hester
B: 1942-04-05
D: 2021-02-17
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Hester, Walter
Bessie Gardiner
B: 1928-11-04
D: 2021-02-12
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Gardiner, Bessie
Lorenzo Stephanson
B: 1945-03-02
D: 2021-02-08
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Stephanson, Lorenzo
Elmer Lawrence
B: 1966-12-25
D: 2021-02-05
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Lawrence, Elmer
Jo Evans
B: 1947-06-13
D: 2021-02-02
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Evans, Jo
Ronald Mullins
B: 1944-03-10
D: 2021-01-31
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Mullins, Ronald
Aleta Lowe
B: 1954-09-29
D: 2021-01-30
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Lowe, Aleta
Joyce Benson
B: 1940-08-15
D: 2021-01-28
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Benson, Joyce
Carolyn Leonard
B: 1952-07-19
D: 2021-01-26
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Leonard, Carolyn
Donald Shaver
B: 1939-01-23
D: 2021-01-25
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Shaver, Donald
Diane Woolever
B: 1961-10-24
D: 2021-01-22
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Woolever, Diane
Diana Ryan
B: 1955-07-06
D: 2021-01-20
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Ryan, Diana
Timothy Tulcus
B: 1965-12-21
D: 2020-12-28
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Tulcus, Timothy

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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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