Obituaries

Margaret Coberly
B: 1949-02-26
D: 2018-04-22
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Coberly, Margaret
Marina Rechim
B: 1955-01-05
D: 2018-04-19
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Rechim, Marina
Leslie Wolfe
D: 2018-04-16
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Wolfe, Leslie
Julia Hernandez
B: 1972-04-17
D: 2018-04-15
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Hernandez, Julia
Patricia Parker
B: 1942-06-10
D: 2018-04-14
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Parker, Patricia
Russell Johnson
B: 1983-11-12
D: 2018-04-13
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Johnson, Russell
Florence Jenks
B: 1937-01-28
D: 2018-04-13
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Jenks, Florence
Jerald Thomas
B: 1936-05-30
D: 2018-04-10
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Thomas, Jerald
Tommy Blalock
B: 1961-06-09
D: 2018-04-10
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Blalock, Tommy
Sherri Nero
B: 1965-10-17
D: 2018-04-09
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Nero, Sherri
Betty Phillips
B: 1961-05-09
D: 2018-04-08
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Phillips, Betty
Marjorie Boggs
B: 1942-03-31
D: 2018-04-08
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Boggs, Marjorie
Donald Hoodenpyle
B: 1933-06-16
D: 2018-04-04
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Hoodenpyle, Donald
Gregory Rhodes
B: 1949-06-17
D: 2018-04-02
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Rhodes, Gregory
Francisco Cuamba
B: 1945-10-04
D: 2018-04-01
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Cuamba, Francisco
Riley O'Mara
B: 1986-06-21
D: 2018-03-31
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O'Mara, Riley
Ethel Reynebeau
B: 1930-12-12
D: 2018-03-30
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Reynebeau, Ethel
James Bybee
B: 1940-04-29
D: 2018-03-28
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Bybee, James
Harriet Whiting
B: 1920-02-17
D: 2018-03-27
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Whiting, Harriet
Wilma Jean Mohorn
B: 1942-06-29
D: 2018-03-27
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Mohorn, Wilma Jean
John Fritton
B: 1925-03-13
D: 2018-03-27
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Fritton, John

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Springdale, AR 72762
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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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