Obituaries

Bernie Ratliff
B: 1930-06-29
D: 2019-01-26
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Ratliff, Bernie
Maria Resendiz
B: 1950-01-19
D: 2019-01-19
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Resendiz, Maria
Louise Rhoden
B: 1921-08-21
D: 2019-01-17
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Rhoden, Louise
Fonda Penney
B: 1931-10-09
D: 2019-01-17
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Penney, Fonda
Beverly Robertson
B: 1957-01-04
D: 2019-01-09
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Robertson, Beverly
Thomas Semikoski
B: 1932-05-13
D: 2019-01-08
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Semikoski, Thomas
Arlie Atwood
B: 1924-01-27
D: 2019-01-04
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Atwood, Arlie
Jose Vega
B: 1957-08-19
D: 2019-01-04
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Vega, Jose
Kenneth Haley
B: 1928-04-03
D: 2019-01-03
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Haley, Kenneth
Betty Goodgame
D: 2019-01-01
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Goodgame, Betty
Danny Hobbs
D: 2018-12-31
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Hobbs, Danny
Jennie Bice
B: 1928-11-04
D: 2018-12-27
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Bice, Jennie
Stephen Scott
B: 1970-12-06
D: 2018-12-25
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Scott, Stephen
Travis Buford
B: 2001-07-19
D: 2018-12-24
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Buford, Travis
Otha Farmer
B: 1939-11-22
D: 2018-12-22
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Farmer, Otha
Billy Campbell
D: 2018-12-21
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Campbell, Billy
Lonnie Fender
B: 1963-05-20
D: 2018-12-20
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Fender, Lonnie
Monroe Dickerson
B: 1930-01-20
D: 2018-12-18
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Dickerson, Monroe
Virginia Richards
B: 1936-08-03
D: 2018-12-17
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Richards, Virginia
Charles Stafford
B: 1930-10-26
D: 2018-12-15
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Stafford, Charles
Debra Ask
B: 1953-04-20
D: 2018-12-15
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Ask, Debra

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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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