Obituaries

Dixie Kersten
B: 1943-07-13
D: 2017-08-26
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Kersten, Dixie
Andrew Budd
B: 1957-12-21
D: 2017-08-04
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Budd, Andrew
Thomas Calderon
B: 1957-12-21
D: 2017-08-04
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Calderon, Thomas
Kathy Jacobson
B: 2017-06-26
D: 2017-08-01
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Jacobson, Kathy
Francis Krausman
B: 1937-09-04
D: 2017-07-10
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Krausman, Francis
David Nichols
B: 1957-02-21
D: 2017-07-02
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Nichols, David
Thomas Lang
B: 1942-03-25
D: 2017-06-08
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Lang, Thomas
Rose Morfin
B: 1922-02-22
D: 2017-06-07
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Morfin, Rose
Margaret Marchitelli
B: 1928-10-17
D: 2017-05-29
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Marchitelli, Margaret
Luis Rodas
B: 1959-06-07
D: 2017-04-29
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Rodas, Luis
Debra Jones
B: 1957-07-22
D: 2017-04-29
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Jones, Debra
Gennadi Apikov
B: 1956-06-24
D: 2017-04-23
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Apikov, Gennadi
Little John Daniels
B: 1928-10-12
D: 2017-04-13
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Daniels, Little John
Darice Wilson
B: 1929-06-04
D: 2017-03-06
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Wilson, Darice
Jeff Diaz
B: 1989-05-05
D: 2017-02-20
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Diaz, Jeff
Maria Heck
B: 1942-11-27
D: 2017-02-09
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Heck, Maria
James Posey
B: 1938-05-03
D: 2017-02-09
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Posey, James
Charles Engle
B: 1940-03-31
D: 2017-02-01
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Engle, Charles
Evelyn Conning
B: 1932-05-25
D: 2017-01-17
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Conning, Evelyn
Sylvester Rose Sr.
B: 1948-11-11
D: 2017-01-15
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Rose Sr., Sylvester
Sonja Sims
B: 1951-04-15
D: 2017-01-09
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Sims, Sonja

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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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