Obituaries

Arun Mukherjee
B: 1948-02-10
D: 2017-06-21
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Mukherjee, Arun
Margot Nelson
B: 1935-06-26
D: 2017-06-19
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Nelson, Margot
David McManus
B: 1959-08-04
D: 2017-06-19
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McManus, David
Lisa McManus
B: 1965-01-23
D: 2017-06-19
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McManus, Lisa
Benny Bennett
B: 1945-03-06
D: 2017-06-18
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Bennett, Benny
Cynthia Turner
B: 1963-05-20
D: 2017-06-18
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Turner, Cynthia
Odell Graves
B: 1934-06-04
D: 2017-06-17
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Graves, Odell
Rachel Hudspeth-Mucia
B: 1985-04-23
D: 2017-06-17
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Hudspeth-Mucia, Rachel
William Bruce
B: 1948-05-16
D: 2017-06-17
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Bruce, William
Mary Strode
B: 1927-02-18
D: 2017-06-16
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Strode, Mary
Baby Mendez
D: 2017-06-16
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Mendez, Baby
Rebekah Seaton
B: 1950-11-30
D: 2017-06-15
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Seaton, Rebekah
Frances Ledbetter
B: 1935-01-05
D: 2017-06-15
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Ledbetter, Frances
Patsy Reed
B: 1935-04-24
D: 2017-06-15
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Reed, Patsy
Debbie Novak
B: 1953-07-31
D: 2017-06-13
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Novak, Debbie
Garland Freeman
B: 1927-07-15
D: 2017-06-12
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Freeman, Garland
Nelson Titus
B: 2017-04-01
D: 2017-06-11
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Titus, Nelson
Nathan McKown
B: 1992-05-21
D: 2017-06-10
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McKown, Nathan
Raymond Burns
B: 1952-09-17
D: 2017-06-09
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Burns, Raymond
John Lynde
B: 1931-10-17
D: 2017-06-07
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Lynde, John
Juan Hernandez
B: 1951-03-19
D: 2017-06-06
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Hernandez, Juan

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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:
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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

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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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