Obituaries

Richard "Dick" Newton
B: 1924-05-21
D: 2018-12-05
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Newton, Richard "Dick"
Melva Sweetwood
B: 1927-06-30
D: 2018-12-04
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Sweetwood, Melva
Michael Speers
B: 1956-08-25
D: 2018-12-02
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Speers, Michael
Randy Brandenburg
B: 1950-08-12
D: 2018-12-01
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Brandenburg, Randy
Gayla Van Houtan
B: 1947-06-24
D: 2018-11-26
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Van Houtan, Gayla
Earl "Bud" Rogers
B: 1932-06-22
D: 2018-11-26
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Rogers, Earl "Bud"
Margaret Riley
B: 1920-08-03
D: 2018-11-25
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Riley, Margaret
Velma Coiner
B: 1920-06-01
D: 2018-11-21
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Coiner, Velma
Terri Gibson
B: 1960-03-22
D: 2018-11-21
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Gibson, Terri
Ruth Bowlin
B: 1923-08-05
D: 2018-11-20
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Bowlin, Ruth
Wanda Johnson
B: 1937-07-26
D: 2018-11-12
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Johnson, Wanda
Frances Hutton
B: 1933-08-16
D: 2018-11-11
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Hutton, Frances
Norma Brecheisen
B: 1929-01-05
D: 2018-11-10
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Brecheisen, Norma
Arthur "Art" Jensen
B: 1929-05-23
D: 2018-11-10
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Jensen, Arthur "Art"
Judy Young
B: 1942-12-24
D: 2018-11-08
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Young, Judy
Andrew "Jay" Townley
B: 1961-03-14
D: 2018-11-05
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Townley, Andrew "Jay"
Kaidan Fraser
B: 2018-11-02
D: 2018-11-02
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Fraser, Kaidan
Belva "Bubs" Snell
B: 1923-07-06
D: 2018-10-29
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Snell, Belva "Bubs"
Timothy "Tim" Baldwin
B: 1955-09-01
D: 2018-10-26
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Baldwin, Timothy "Tim"
Theresa Hayes
B: 1956-08-27
D: 2018-10-25
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Hayes, Theresa
Glenn Schulz
B: 1931-01-02
D: 2018-10-24
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Schulz, Glenn

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PO Box 192
Gardner, KS 66030
Phone: 913-856-7111
Fax: 913-884-7009

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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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