Obituaries

Ronald Scrivener
B: 1955-03-11
D: 2024-06-01
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Scrivener, Ronald
Jeffrey Pepper
B: 1947-08-17
D: 2024-05-28
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Pepper, Jeffrey
Duane Wagg
B: 1961-04-23
D: 2024-05-22
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Wagg, Duane
James Shipman
B: 1947-03-05
D: 2024-05-13
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Shipman, James
Vanetta Renz
B: 1931-03-13
D: 2024-05-12
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Renz, Vanetta
Mary Jo Heidrick
B: 1953-10-28
D: 2024-05-07
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Heidrick, Mary Jo
Douglas Moore
B: 1943-03-15
D: 2024-05-02
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Moore, Douglas
Ronald Bailey
B: 1958-05-02
D: 2024-04-12
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Bailey, Ronald
Todd Wood
B: 1965-12-31
D: 2024-04-05
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Wood, Todd
Rodney Loyd
B: 1945-09-03
D: 2024-04-04
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Loyd, Rodney
Willard Papendick Jr.
B: 1949-01-23
D: 2024-03-28
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Papendick Jr., Willard
Timothy Roebling Jr.
B: 1998-05-31
D: 2024-03-28
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Roebling Jr., Timothy
Ilene Davis
B: 1926-03-14
D: 2024-03-26
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Davis, Ilene
Frederick Wood
B: 1947-04-23
D: 2024-03-14
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Wood , Frederick
James Anderson
B: 1934-02-16
D: 2024-03-13
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Anderson, James
Barbara Volker
B: 1936-04-20
D: 2024-03-11
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Volker, Barbara
James Large
B: 1946-12-18
D: 2024-03-07
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Large, James
Adrian Hunt Jr.
B: 1958-12-11
D: 2024-03-06
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Hunt Jr., Adrian
Irma Searcy
B: 1943-02-20
D: 2024-03-04
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Searcy, Irma
Eric Martin
B: 1975-02-06
D: 2024-02-16
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Martin, Eric
Donald Katlin
B: 1929-07-21
D: 2024-02-12
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Katlin, Donald

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1106 E. Branch St.
PO Box 1094
PLATTE CITY, MO 64079
Phone: 816.858.2129
Fax: 816.858.2347

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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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