Obituaries

Robert Annable
B: 1927-03-10
D: 2017-06-14
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Annable, Robert
Asrar Ansari
D: 2017-06-10
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Ansari, Asrar
Marjorie Gibson
B: 1922-05-29
D: 2017-06-10
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Gibson, Marjorie
Ebrahim Ansari
B: 1921-07-18
D: 2017-06-10
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Ansari, Ebrahim
June Murray
B: 1950-09-04
D: 2017-06-05
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Murray, June
Christopher Dunn
B: 1947-10-20
D: 2017-06-05
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Dunn, Christopher
William McLachlan
B: 1934-06-12
D: 2017-06-02
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McLachlan, William
Tage Lundsten
B: 1961-09-06
D: 2017-06-02
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Lundsten, Tage
Jean O'Byrne
B: 1938-05-04
D: 2017-05-25
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O'Byrne, Jean
Stanley Oakley
B: 1931-03-04
D: 2017-05-19
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Oakley, Stanley
Arthur Curren
B: 1932-11-30
D: 2017-05-12
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Curren, Arthur
Dorothy Hanna
B: 1925-05-25
D: 2017-05-07
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Hanna, Dorothy
Rose Lim Wan Yu
B: 1924-06-26
D: 2017-05-06
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Wan Yu, Rose Lim
Julia Knowles
B: 1922-10-19
D: 2017-05-03
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Knowles, Julia
Peter Bainbridge
B: 1931-10-02
D: 2017-04-19
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Bainbridge, Peter
Christine Ford
B: 1954-04-18
D: 2017-04-19
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Ford, Christine
Donald Axford
B: 1939-07-20
D: 2017-03-29
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Axford, Donald
Lois Brymer
B: 1946-04-24
D: 2017-03-27
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Brymer, Lois
Audrey Henry
B: 1920-12-28
D: 2017-03-25
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Henry, Audrey
Parvin Saadati
B: 1957-11-28
D: 2017-03-19
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Saadati, Parvin
Roger Latta
B: 1937-06-22
D: 2017-03-11
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Latta, Roger

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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:

Miscellaneous Notes and Instructions:

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Please place my information on file


 

 

 

 

 

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