Obituaries

Esther Hemmenway
B: 1944-06-21
D: 2019-10-14
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Hemmenway, Esther
Michael Chaddick
B: 1971-08-02
D: 2019-09-28
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Chaddick, Michael
Alvin Geheb
B: 1941-06-23
D: 2019-09-16
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Geheb, Alvin
Don Breaux
B: 1933-06-10
D: 2019-09-14
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Breaux, Don
Amanda Wildberger
B: 1984-01-24
D: 2019-09-08
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Wildberger, Amanda
Ashely Corbell
B: 1983-08-04
D: 2019-09-01
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Corbell, Ashely
Francis Kelly
B: 1939-09-15
D: 2019-08-28
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Kelly, Francis
Shirley Nunez
B: 1936-11-16
D: 2019-08-28
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Nunez, Shirley
Annabelle Kelly
D: 2019-08-27
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Kelly, Annabelle
James Kourtney
B: 1942-06-19
D: 2019-08-24
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Kourtney, James
Donald Kelly
D: 2019-08-24
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Kelly, Donald
David Crockett
B: 1934-02-08
D: 2019-08-13
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Crockett, David
Shashawnee "Sam" Miller
B: 1974-08-13
D: 2019-08-11
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Miller, Shashawnee "Sam"
Courtney Parker
B: 1992-06-11
D: 2019-08-10
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Parker, Courtney
Darrell Phillips
B: 1976-08-09
D: 2019-08-07
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Phillips, Darrell
Shanta Buchanan
B: 1968-08-30
D: 2019-08-02
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Buchanan, Shanta
Daryl Watson
B: 1959-10-10
D: 2019-07-26
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Watson, Daryl
Jerrod Carruth
B: 1985-09-09
D: 2019-07-22
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Carruth, Jerrod
Charles Shaffer
B: 1947-12-12
D: 2019-07-18
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Shaffer, Charles
Lois Bekkerus
D: 2019-07-15
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Bekkerus, Lois
Norma Allemand
B: 1947-03-04
D: 2019-07-15
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Allemand, Norma

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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:                  
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Residence History:            
Father's Name:
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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:
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The cemetery property is in the name of:
         

Miscellaneous Notes and Instructions:

         

             

       

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