Obituaries

Richard Olson
B: 1953-07-01
D: 2020-01-17
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Olson, Richard
Steven Dickman
B: 1966-02-08
D: 2019-12-30
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Dickman, Steven
Enelida De Jesus
D: 2019-12-28
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De Jesus, Enelida
Pamela Zerkle
D: 2019-12-18
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Zerkle, Pamela
Walter Matthews
B: 1986-07-19
D: 2019-12-14
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Matthews, Walter
Carol Williams
B: 1936-12-18
D: 2019-12-11
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Williams, Carol
Daniel Levine
B: 1985-06-02
D: 2019-12-09
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Levine, Daniel
Dorothe Butteris
B: 1943-07-14
D: 2019-12-08
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Butteris, Dorothe
Thomas Wacker
D: 2019-12-06
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Wacker, Thomas
Edwin Kehl
D: 2019-12-02
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Kehl, Edwin
Yvonne Amann
B: 1936-12-15
D: 2019-12-01
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Amann, Yvonne
Luke Blackley
D: 2019-12-01
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Blackley, Luke
Walter Sellers
D: 2019-11-28
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Sellers, Walter
Kenneth Duell
B: 1955-12-21
D: 2019-11-17
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Duell, Kenneth
Amy Sholes
B: 1971-11-28
D: 2019-11-14
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Sholes, Amy
Robert Lundstrom
D: 2019-10-25
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Lundstrom, Robert
Carol Brausen
D: 2019-10-18
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Brausen, Carol
gayle Hanks
B: 1945-11-13
D: 2019-09-29
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Hanks, gayle
Leslie Moller
B: 1953-04-09
D: 2019-09-27
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Moller, Leslie
Nancy Trefz
D: 2019-09-25
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Trefz, Nancy
Rolando Barrientos
D: 2019-09-14
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Barrientos, Rolando

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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

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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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