Obituaries

Jerry Geyer
B: 1957-08-25
D: 2018-08-16
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Geyer, Jerry
Danny Foster
B: 1975-08-07
D: 2018-08-15
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Foster, Danny
Cecil Treat
B: 1926-03-25
D: 2018-08-14
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Treat, Cecil
Claudia de Cerna
B: 1931-07-10
D: 2018-08-13
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de Cerna, Claudia
Timothy Mills
B: 1957-03-14
D: 2018-08-13
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Mills, Timothy
Teresa Brasuell
B: 1959-05-17
D: 2018-08-12
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Brasuell, Teresa
Robert Joy
B: 1940-02-08
D: 2018-08-10
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Joy, Robert
Debra Moore
B: 1964-08-30
D: 2018-08-07
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Moore, Debra
Eddie Mitcham
B: 1952-12-22
D: 2018-08-07
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Mitcham, Eddie
Norma Capper
B: 1931-06-24
D: 2018-08-06
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Capper, Norma
Jeania Jones
B: 1967-01-06
D: 2018-08-06
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Jones, Jeania
Kimberly Thompson
B: 1949-07-14
D: 2018-08-06
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Thompson, Kimberly
Helen Gilmore
B: 1960-11-03
D: 2018-08-05
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Gilmore, Helen
Kandace Buckaloo
B: 1996-06-10
D: 2018-08-05
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Buckaloo, Kandace
Earnest Main
B: 1939-05-28
D: 2018-08-04
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Main, Earnest
George Coursey
D: 2018-08-02
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Coursey, George
Carl Andrews
B: 1955-06-03
D: 2018-08-02
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Andrews, Carl
Shirley Robinson
B: 1951-08-24
D: 2018-08-01
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Robinson, Shirley
Marie Burnett
B: 1936-03-09
D: 2018-08-01
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Burnett, Marie
Jeffrey Hubbard
D: 2018-08-01
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Hubbard, Jeffrey
Jose Flores
B: 1970-11-14
D: 2018-07-31
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Flores, Jose

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I. Biographical Information

Full Name:
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 You In Death
Your 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:
         

Miscellaneous Notes and Instructions:

             

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