Obituaries

Edward Zygmontowicz, Jr.
B: 1945-05-18
D: 2018-11-12
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Zygmontowicz, Jr., Edward
Shirley Spencer
B: 1936-02-24
D: 2018-11-05
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Spencer, Shirley
John Edson
B: 1946-10-26
D: 2018-11-04
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Edson, John
Richard Hall, Sr.
B: 1947-11-07
D: 2018-10-25
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Hall, Sr., Richard
Edward Poncavage
B: 1944-01-24
D: 2018-10-25
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Poncavage, Edward
Rodney Berry, Sr.
B: 1952-06-06
D: 2018-10-25
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Berry, Sr., Rodney
William Mason
B: 1964-03-29
D: 2018-10-04
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Mason, William
Hazel Reed
B: 1919-01-25
D: 2018-10-02
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Reed, Hazel
Carol Hansen
B: 1943-09-17
D: 2018-09-30
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Hansen, Carol
Darlene Branum
B: 1934-04-21
D: 2018-09-18
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Branum, Darlene
Leota Hibbs
B: 1921-11-30
D: 2018-09-15
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Hibbs, Leota
Mary Ode
B: 1930-07-16
D: 2018-09-10
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Ode, Mary
Patricia Bundy
B: 1960-06-22
D: 2018-09-09
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Bundy, Patricia
Jean Novotny
B: 1948-11-07
D: 2018-09-01
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Novotny, Jean
Evelyn Hamm
B: 1922-06-05
D: 2018-08-24
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Hamm, Evelyn
Raymond Sedlock
B: 1960-08-02
D: 2018-08-11
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Sedlock, Raymond
Kenneth McSherry
B: 1945-05-01
D: 2018-08-06
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McSherry, Kenneth
Leslie Jenks
B: 1955-01-18
D: 2018-08-05
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Jenks, Leslie
Carol Kossen
B: 1957-10-10
D: 2018-07-27
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Kossen, Carol
Jerry McQuitty
B: 1932-10-05
D: 2018-07-25
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McQuitty, Jerry
Nida Smith
B: 1925-06-19
D: 2018-07-21
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Smith, Nida

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1106 E. Branch St.
PO Box 1094
PLATTE CITY, MO 64079
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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:
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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:
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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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