Obituaries

Richard Proudfit
B: 1929-12-19
D: 2018-11-13
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Proudfit, Richard
Robert Nehotte
B: 1929-04-03
D: 2018-11-14
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Nehotte, Robert
Jane Rosenberg
B: 1933-06-11
D: 2018-11-13
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Rosenberg, Jane
Dorothy Gisvold
B: 1923-09-17
D: 2018-11-18
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Gisvold, Dorothy
Caroline Donahue
B: 1919-11-24
D: 2018-10-11
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Donahue, Caroline
James Dutenhoeffer
B: 1949-08-03
D: 2018-11-14
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Dutenhoeffer, James
Harriet Haeg
B: 1938-03-01
D: 2018-11-11
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Haeg, Harriet
John Lind
B: 1916-10-09
D: 2018-11-08
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Lind, John
Henry Vidal
B: 1959-02-07
D: 2018-11-08
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Vidal, Henry
Lulu Hoffman
B: 1931-10-11
D: 2018-11-03
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Hoffman, Lulu
Marilyn Kenealey
B: 1958-05-22
D: 2018-11-04
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Kenealey, Marilyn
Mary Anderson
D: 2018-11-07
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Anderson, Mary
Bruce Lindgren
B: 1956-09-14
D: 2018-11-07
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Lindgren, Bruce
James Burns
D: 2018-10-28
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Burns, James
Charles Barrett
D: 2018-11-05
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Barrett, Charles
Ivona Risacher
B: 1931-05-17
D: 2018-11-04
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Risacher, Ivona
Mary MacDonald
B: 1946-06-16
D: 2018-10-31
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MacDonald, Mary
Florence Mohr
B: 1926-06-26
D: 2018-11-03
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Mohr, Florence
Charlotte Reynolds
B: 1921-06-12
D: 2018-09-27
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Reynolds, Charlotte
Canh Tran
B: 1931-04-13
D: 2018-10-25
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Tran, Canh
Joyce Benusa
B: 1930-03-22
D: 2018-10-24
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Benusa, Joyce

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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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Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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