Obituaries

Gary Willoughby
B: 1949-09-01
D: 2019-10-12
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Willoughby, Gary
Jane Hamilton
B: 1941-06-09
D: 2019-10-09
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Hamilton, Jane
Glynn Gregory
B: 1944-01-02
D: 2019-10-05
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Gregory, Glynn
Lois Caywood
B: 1926-01-15
D: 2019-10-02
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Caywood, Lois
Donald Lowe
B: 1928-03-26
D: 2019-10-01
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Lowe, Donald
Dustin Cox
B: 1984-11-08
D: 2019-09-27
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Cox, Dustin
William Ramey
B: 1945-10-12
D: 2019-09-27
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Ramey, William
Jasper Chambers
B: 1940-06-28
D: 2019-09-23
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Chambers, Jasper
Letton Williams
B: 1955-06-12
D: 2019-09-21
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Williams, Letton
Helen Canada
B: 1931-08-18
D: 2019-09-20
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Canada, Helen
Terry Lawson
B: 1963-03-02
D: 2019-09-18
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Lawson, Terry
Trina Bussell
B: 1957-10-19
D: 2019-09-09
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Bussell, Trina
Christopher Buchanan
B: 1984-08-03
D: 2019-09-09
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Buchanan, Christopher
Anna Sharon
B: 1940-10-01
D: 2019-09-09
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Sharon, Anna
Mary Mers
B: 1949-04-09
D: 2019-09-08
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Mers, Mary
Jennie Cooper
B: 1934-01-07
D: 2019-08-29
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Cooper, Jennie
Mervin Stephens
B: 1942-10-26
D: 2019-08-19
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Stephens, Mervin
Merle Wasson
B: 1941-07-20
D: 2019-08-16
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Wasson, Merle
Elizabeth Ballard
B: 1931-01-22
D: 2019-08-09
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Ballard, Elizabeth
Harold King
B: 1958-01-04
D: 2019-08-09
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King, Harold
Wilma Keely
D: 2019-08-07
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Keely, Wilma

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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:
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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

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Casket:
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Cemetery Name:
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The cemetery property is in the name of:

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