Obituaries

Sherry Cole
B: 1959-06-23
D: 2017-04-19
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Cole, Sherry
William Durrant
D: 2017-04-14
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Durrant, William
Robert Warnick
B: 1928-11-26
D: 2017-04-14
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Warnick, Robert
Betty Christiansen
B: 1932-12-19
D: 2017-03-29
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Christiansen, Betty
Janet Knell
B: 1936-06-15
D: 2017-03-27
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Knell, Janet
Walter Rieske
B: 1926-12-13
D: 2017-03-25
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Rieske, Walter
Kinsey Collier
B: 1988-09-08
D: 2017-03-25
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Collier, Kinsey
Ellen Jacobson
B: 1920-11-07
D: 2017-03-22
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Jacobson, Ellen
Robert Dove
B: 1928-03-22
D: 2017-03-21
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Dove, Robert
Heather Palmer
B: 1978-06-11
D: 2017-03-13
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Palmer, Heather
Chong Briggs
B: 1935-11-15
D: 2017-03-09
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Briggs, Chong
Virginia Brown Price
D: 2017-03-09
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Price, Virginia Brown
Eva Chaney
B: 1924-02-18
D: 2017-03-06
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Chaney, Eva
DerMont Bell
B: 1930-08-12
D: 2017-03-06
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Bell, DerMont
Luzon Wall
B: 1940-03-21
D: 2017-03-03
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Wall, Luzon
Twayne Neal
B: 1957-10-07
D: 2017-02-26
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Neal, Twayne
Katie Smithson
B: 1979-03-16
D: 2017-02-25
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Smithson, Katie
Earl Reed
B: 1925-12-21
D: 2017-02-24
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Reed, Earl
Merien Robins
B: 1932-10-09
D: 2017-02-23
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Robins, Merien
Iris Hancey
B: 1921-08-27
D: 2017-02-22
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Hancey, Iris
Eni Fa'aua'a Faleomavaega
B: 1943-08-15
D: 2017-02-22
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Faleomavaega, Eni Fa'aua'a

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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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