Obituaries

Thomas James
B: 1922-11-16
D: 2017-09-20
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James, Thomas
Norman Metz
B: 1935-04-13
D: 2017-09-18
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Metz, Norman
David Dwyer
B: 1944-03-15
D: 2017-09-15
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Dwyer, David
Eugenie Lord
B: 1923-10-27
D: 2017-09-11
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Lord, Eugenie
Isle Ohrnberger
B: 1920-05-24
D: 2017-08-28
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Ohrnberger, Isle
Margaret Rowlett
B: 1937-09-13
D: 2017-08-24
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Rowlett, Margaret
Christopher Wolfe
B: 1948-01-30
D: 2017-08-23
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Wolfe, Christopher
Anne Saltiel
B: 1945-05-21
D: 2017-08-20
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Saltiel, Anne
Sheila Nussbaum
B: 1929-12-19
D: 2017-08-01
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Nussbaum, Sheila
George Cook
B: 1928-09-26
D: 2017-07-13
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Cook, George
Gloria Kanski
B: 1934-06-18
D: 2017-07-10
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Kanski, Gloria
Ruth Pestell
B: 1930-11-25
D: 2017-07-02
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Pestell, Ruth
Ruth Wahlgren
B: 1926-04-27
D: 2017-06-26
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Wahlgren, Ruth
Drake Kotula
B: 1987-11-19
D: 2017-06-24
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Kotula, Drake
Karl Finstad
B: 1968-07-02
D: 2017-06-17
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Finstad, Karl
Robert Annable
B: 1927-03-10
D: 2017-06-14
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Annable, Robert
Asrar Ansari
D: 2017-06-10
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Ansari, Asrar
Marjorie Gibson
B: 1922-05-29
D: 2017-06-10
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Gibson, Marjorie
Ebrahim Ansari
B: 1921-07-18
D: 2017-06-10
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Ansari, Ebrahim
Doreen Pewsey
B: 1939-05-16
D: 2017-06-08
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Pewsey, Doreen
June Murray
B: 1950-09-04
D: 2017-06-05
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Murray, June

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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:

Miscellaneous Notes and Instructions:

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Please place my information on file


 

 

 

 

 

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