Obituaries

Catherine Lewis
B: 1963-10-17
D: 2018-01-19
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Lewis, Catherine
David Blackhurst
B: 1935-10-27
D: 2018-01-19
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Blackhurst, David
Rulon Thomas
B: 1923-06-11
D: 2018-01-08
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Thomas, Rulon
Ernest Turner
B: 1931-11-19
D: 2018-01-07
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Turner, Ernest
Lizabeth Christy
B: 1940-07-28
D: 2018-01-06
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Christy, Lizabeth
Zachary Jensen
B: 1998-05-11
D: 2018-01-04
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Jensen, Zachary
Richard Nelson
B: 1931-03-12
D: 2018-01-01
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Nelson, Richard
Alan Nielsen
B: 1945-07-17
D: 2017-12-30
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Nielsen, Alan
Brennan Walpole
B: 1982-09-12
D: 2017-12-30
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Walpole, Brennan
Thelma Wilson
B: 1918-11-13
D: 2017-12-26
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Wilson, Thelma
Jose Ojeda
B: 1969-03-22
D: 2017-12-24
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Ojeda, Jose
Verna Madsen
B: 1929-06-04
D: 2017-12-17
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Madsen, Verna
Richard Hill
B: 1929-03-16
D: 2017-12-09
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Hill, Richard
Leah Gillie
B: 1937-08-25
D: 2017-12-01
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Gillie, Leah
Lorraine Harper
B: 1925-12-04
D: 2017-11-30
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Harper, Lorraine
Harvey Gardner
B: 1929-11-30
D: 2017-11-26
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Gardner, Harvey
Kenneth Dahlberg
B: 1926-07-28
D: 2017-11-23
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Dahlberg, Kenneth
Ella Hughes
B: 2003-08-30
D: 2017-11-16
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Hughes, Ella
Clinton Wilkinson
B: 1985-12-28
D: 2017-11-05
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Wilkinson, Clinton
Richard Warner
B: 1930-09-23
D: 2017-11-03
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Warner, Richard
Stanley Pierce
B: 1925-04-23
D: 2017-10-30
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Pierce, Stanley

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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:
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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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