Obituaries

Virginia Boone
B: 1929-04-12
D: 2017-10-22
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Boone, Virginia
Shawn Hurla
B: 1970-07-04
D: 2017-10-17
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Hurla, Shawn
Betty VanGoethem
B: 1932-11-25
D: 2017-10-13
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VanGoethem, Betty
Raymond "Ray" Shaw
B: 1928-11-06
D: 2017-10-02
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Shaw, Raymond "Ray"
Keith Bones
B: 1956-05-10
D: 2017-09-30
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Bones, Keith
Shirley Penner
B: 1948-04-04
D: 2017-09-29
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Penner, Shirley
David Gould
B: 1946-12-29
D: 2017-09-27
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Gould, David
Brayson Marconette
B: 2013-07-08
D: 2017-09-26
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Marconette, Brayson
Patricia Mummert
B: 1923-06-26
D: 2017-09-25
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Mummert, Patricia
Helen Pingleton
B: 1935-08-28
D: 2017-09-24
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Pingleton, Helen
Richard Semler
B: 1940-05-07
D: 2017-09-23
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Semler, Richard
Deborah Virgin
B: 1951-05-02
D: 2017-09-17
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Virgin, Deborah
Brooke "Brookelynn" Smith
B: 1994-10-11
D: 2017-09-16
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Smith, Brooke "Brookelynn"
Frances Cramer
B: 1921-09-20
D: 2017-09-14
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Cramer, Frances
E. Delores "Dee" Huggins
B: 1944-05-15
D: 2017-09-14
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Huggins, E. Delores "Dee"
William "Bill" Riegel, III
B: 1930-04-10
D: 2017-09-06
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Riegel, III, William "Bill"
Willie "Gene" Camp
B: 1943-06-02
D: 2017-09-05
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Camp, Willie "Gene"
Karen Crews
B: 1976-01-01
D: 2017-09-04
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Crews, Karen
Brenda Hutchens
B: 1959-10-24
D: 2017-08-24
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Hutchens, Brenda
Virginia Marousek
B: 1930-09-08
D: 2017-08-21
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Marousek, Virginia
Doris Vail
B: 1935-07-02
D: 2017-08-20
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Vail, Doris

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Phone: 913-856-7111
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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:

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