Obituaries

Martha Fosselman
B: 1929-02-04
D: 2018-11-09
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Fosselman, Martha
Michael Shelley
B: 1957-08-08
D: 2018-11-06
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Shelley, Michael
Linda First
B: 1945-09-01
D: 2018-11-01
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First, Linda
Merrill Hood
B: 1928-11-03
D: 2018-10-29
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Hood, Merrill
Melvin Hoover
B: 1960-08-10
D: 2018-10-23
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Hoover, Melvin
Patricia Lesh
B: 1943-04-02
D: 2018-10-13
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Lesh, Patricia
Florence Long
B: 1925-09-15
D: 2018-10-01
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Long, Florence
Thelma Haas
B: 1925-07-20
D: 2018-09-30
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Haas, Thelma
Danny Shellenberger
B: 1947-12-02
D: 2018-09-26
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Shellenberger, Danny
Matthew Reichert
B: 1998-04-27
D: 2018-09-16
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Reichert, Matthew
R. Brown
B: 1927-09-29
D: 2018-09-13
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Brown, R.
Oaklee Corbett
B: 2018-09-13
D: 2018-09-13
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Corbett, Oaklee
Robert Imes
B: 1934-06-11
D: 2018-09-12
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Imes, Robert
Janet Cleck
B: 1932-10-29
D: 2018-08-29
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Cleck, Janet
H. Thomas Lyter
B: 1951-08-06
D: 2018-08-27
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Lyter, H. Thomas
Lovina Sheerer
B: 1922-10-06
D: 2018-08-22
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Sheerer, Lovina
Sara Swartz
B: 1935-07-14
D: 2018-08-22
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Swartz, Sara
David Blansett
B: 1947-06-13
D: 2018-08-19
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Blansett, David
Betty Fegan
B: 1928-03-07
D: 2018-08-16
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Fegan, Betty
Crystal Shaffer
B: 1970-07-03
D: 2018-08-10
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Shaffer, Crystal
John Robinson
B: 1953-07-26
D: 2018-08-03
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Robinson, John

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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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