Obituaries

Orval Jeffs
B: 1930-09-24
D: 2017-10-13
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Jeffs, Orval
Daniel Diaz
B: 1939-10-07
D: 2017-10-11
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Diaz, Daniel
Lucy Stewart
D: 2017-10-11
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Stewart, Lucy
Michael Leeds
B: 1944-07-28
D: 2017-10-06
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Leeds, Michael
Consuelo Escobar
B: 1943-10-22
D: 2017-10-05
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Escobar, Consuelo
Ross Taylor
B: 1959-08-05
D: 2017-10-04
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Taylor, Ross
David Lacefield
B: 1937-07-15
D: 2017-10-03
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Lacefield, David
Kathleen Russo
B: 1947-10-02
D: 2017-10-02
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Russo, Kathleen
Robert Hall
B: 1933-11-24
D: 2017-09-29
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Hall, Robert
James Duncan
B: 1958-09-15
D: 2017-09-29
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Duncan, James
Robert Bailey
B: 1921-12-14
D: 2017-09-28
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Bailey, Robert
Marlene Sorenson
B: 1976-08-08
D: 2017-09-28
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Sorenson, Marlene
Dustin Donahue
B: 1985-03-02
D: 2017-09-28
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Donahue, Dustin
Cammie Covington
B: 1970-02-19
D: 2017-09-21
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Covington, Cammie
Victor Chapman
B: 1926-09-14
D: 2017-09-16
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Chapman, Victor
Terry Anderson
B: 1955-01-04
D: 2017-09-15
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Anderson, Terry
Donna Walker
B: 1931-02-22
D: 2017-09-12
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Walker, Donna
Clayton Huber
B: 1938-02-28
D: 2017-09-05
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Huber, Clayton
Karien Schumann
B: 1967-08-18
D: 2017-09-05
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Schumann, Karien
Riley Lloyd
B: 1996-09-17
D: 2017-09-05
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Lloyd, Riley
Carol Terry
B: 1928-09-25
D: 2017-09-03
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Terry, Carol

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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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