Obituaries

Richard Line
B: 1936-02-06
D: 2018-01-17
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Line, Richard
Ruth Liberman
B: 1918-06-08
D: 2018-01-17
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Liberman, Ruth
Bruce Avery
B: 1933-04-15
D: 2018-01-16
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Avery, Bruce
Linda Esworthy
B: 1944-09-19
D: 2018-01-15
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Esworthy, Linda
V. Tom Gesell
B: 1941-05-22
D: 2018-01-15
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Gesell, V. Tom
James Hill
B: 1944-02-17
D: 2018-01-15
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Hill, James
Rev. Harold Brittingham
B: 1943-06-18
D: 2018-01-12
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Brittingham, Rev. Harold
Manley Clagett
B: 1943-04-29
D: 2018-01-11
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Clagett, Manley
Mary Jane Pahl
B: 1930-11-26
D: 2018-01-10
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Pahl , Mary Jane
Michael Katafiasz
B: 1963-07-14
D: 2018-01-10
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Katafiasz, Michael
Gilbert Mayne
B: 1931-11-15
D: 2018-01-07
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Mayne, Gilbert
John Whittington
B: 1945-12-28
D: 2018-01-07
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Whittington , John
Marilyn Naill
B: 1946-06-10
D: 2018-01-06
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Naill , Marilyn
Joyce Mathis
B: 1939-07-10
D: 2018-01-06
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Mathis , Joyce
Mary Reed
B: 1930-03-10
D: 2018-01-05
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Reed, Mary
Glenn Taylor
B: 1967-04-26
D: 2018-01-02
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Taylor, Glenn
Robert Franklin
B: 1936-11-27
D: 2018-01-01
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Franklin, Robert
Sarah Duff
B: 1945-01-31
D: 2017-12-25
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Duff , Sarah
Gary Bowen
B: 1943-05-13
D: 2017-12-25
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Bowen , Gary
Erna Bunn
B: 1927-08-03
D: 2017-12-24
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Bunn, Erna
Robert Smolar
B: 1945-09-09
D: 2017-12-21
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Smolar, Robert

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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

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Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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