Obituaries

James Edwards
B: 1932-06-14
D: 2019-11-09
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Edwards, James
Betty Reavis
B: 1934-05-02
D: 2019-11-09
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Reavis, Betty
Jeanee White
B: 1934-07-24
D: 2019-11-07
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White, Jeanee
Gregory Brown
B: 1947-05-03
D: 2019-10-31
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Brown, Gregory
Gage Fogt
B: 2005-08-26
D: 2019-10-30
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Fogt, Gage
James Glass, Jr.
B: 1959-03-11
D: 2019-10-28
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Glass, Jr., James
Melissa Shafer
B: 1951-12-30
D: 2019-10-25
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Shafer, Melissa
Dorothy Buckler
B: 1927-12-09
D: 2019-10-19
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Buckler, Dorothy
Frances Hornbuckle
B: 1932-07-05
D: 2019-10-17
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Hornbuckle, Frances
Roberta Norris
B: 1936-12-28
D: 2019-10-16
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Norris, Roberta
Glenda Myers
B: 1935-10-16
D: 2019-10-09
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Myers, Glenda
Donna Jones
B: 1961-02-04
D: 2019-10-08
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Jones, Donna
Helen Hoffman
B: 1933-11-24
D: 2019-10-06
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Hoffman, Helen
Janice Wolbrecht
B: 1938-07-18
D: 2019-10-05
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Wolbrecht, Janice
Minnie Beisinger
B: 1930-02-23
D: 2019-10-02
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Beisinger, Minnie
James Sampson
B: 1979-06-18
D: 2019-09-29
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Sampson, James
Linda Hay
B: 1956-08-03
D: 2019-09-24
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Hay, Linda
Connie Brittingham
B: 1956-12-26
D: 2019-09-17
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Brittingham, Connie
Jessie Crockett
B: 1948-11-23
D: 2019-09-04
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Crockett, Jessie
Patty Harpst
B: 1934-08-06
D: 2019-08-25
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Harpst, Patty
Fred Bierschbach
B: 1955-05-05
D: 2019-08-24
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Bierschbach, Fred

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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:
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Residence History:
Father's Name:
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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:
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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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Pallbearers:
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Cemetery Name:
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The cemetery property is in the name of:

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