Obituaries

Johnnie Skaggs
B: 1960-10-29
D: 2017-07-23
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Skaggs, Johnnie
Mitchell Taylor
B: 1948-09-15
D: 2017-07-22
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Taylor, Mitchell
Marvin Bohannan
B: 1937-05-08
D: 2017-07-21
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Bohannan, Marvin
Barbara Buscher
B: 1952-07-21
D: 2017-07-19
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Buscher, Barbara
Terry Tucker
B: 1953-08-08
D: 2017-07-18
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Tucker, Terry
Phillip Chatham
B: 1942-06-28
D: 2017-07-17
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Chatham, Phillip
Carl West
B: 1930-05-09
D: 2017-07-17
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West, Carl
Judy Yates
B: 1939-08-15
D: 2017-07-15
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Yates, Judy
Donald Logan
B: 1955-10-22
D: 2017-07-13
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Logan, Donald
Antonio Martinez
B: 1936-01-17
D: 2017-07-13
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Martinez, Antonio
Robert Bellamy
B: 1956-12-01
D: 2017-07-11
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Bellamy, Robert
Don Smith
B: 1939-03-04
D: 2017-07-09
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Smith, Don
Johnnie Winters
B: 1943-04-01
D: 2017-07-08
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Winters, Johnnie
Mary Gralewski
B: 1951-08-16
D: 2017-07-07
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Gralewski, Mary
Beverly Barranger
B: 1937-03-07
D: 2017-07-07
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Barranger, Beverly
Patricia Millsop
B: 1946-03-19
D: 2017-07-07
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Millsop, Patricia
LaVerna Rogers
B: 1930-08-30
D: 2017-07-07
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Rogers, LaVerna
Esther Pianalto
B: 1920-10-09
D: 2017-07-07
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Pianalto, Esther
Kate Morris
B: 1943-06-05
D: 2017-07-06
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Morris, Kate
Margaret Replogle
B: 1928-11-21
D: 2017-07-06
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Replogle, Margaret
Jerry Canada
B: 1959-02-11
D: 2017-07-05
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Canada, Jerry

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Springdale, AR 72762
Phone: (479) 751-4747
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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:        
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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

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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