Obituaries

Geneva Brown
B: 1920-05-11
D: 2019-12-19
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Brown, Geneva
Wanda Reid
B: 1926-09-23
D: 2019-12-11
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Reid, Wanda
Kathryn Minger
B: 1952-06-16
D: 2019-12-11
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Minger, Kathryn
Ginger Chambers
B: 1938-02-15
D: 2019-12-11
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Chambers, Ginger
Lawrence Price
B: 1935-08-26
D: 2019-12-10
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Price, Lawrence
Steven Naill
B: 1954-03-26
D: 2019-12-10
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Naill, Steven
Carolyn Miller
B: 1943-08-23
D: 2019-12-09
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Miller, Carolyn
Mona Bittorie
B: 1956-01-23
D: 2019-12-09
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Bittorie, Mona
Effie Mong
B: 1937-09-01
D: 2019-12-08
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Mong, Effie
Marion Shaw-Christopher
B: 1969-11-13
D: 2019-12-08
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Shaw-Christopher, Marion
James Brady
B: 1932-01-27
D: 2019-12-08
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Brady, James
Carol Pancake
B: 1938-06-09
D: 2019-12-07
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Pancake, Carol
Geraldine Price
B: 1934-03-29
D: 2019-12-05
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Price, Geraldine
Gary Butts
B: 1945-08-16
D: 2019-12-03
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Butts, Gary
Charlene Gaither
B: 1963-10-15
D: 2019-12-02
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Gaither, Charlene
Cynthia Manor
B: 1960-07-05
D: 2019-12-01
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Manor, Cynthia
Joan Myers
B: 1940-06-06
D: 2019-12-01
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Myers, Joan
Patricia Lynn Hamilton
B: 1959-07-24
D: 2019-12-01
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Hamilton, Patricia Lynn
Shannon Lutz
B: 1980-12-27
D: 2019-12-01
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Lutz, Shannon
Leonard Hull
B: 1971-09-13
D: 2019-11-30
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Hull, Leonard
Mary Grissinger
B: 1929-12-27
D: 2019-11-29
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Grissinger, Mary

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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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