Obituaries

Marilyn Ablard
B: 1945-02-22
D: 2019-04-20
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Ablard, Marilyn
Howard Lee Gardner
B: 1946-02-28
D: 2019-04-20
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Gardner, Howard Lee
Angela Reimers
B: 1932-05-21
D: 2019-04-19
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Reimers, Angela
Edward "Ed" Lundgren
B: 1930-06-28
D: 2019-04-18
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Lundgren, Edward "Ed"
Frank Richardson
B: 1930-07-27
D: 2019-04-15
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Richardson, Frank
Linda Fountain
B: 1958-02-05
D: 2019-04-15
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Fountain, Linda
Marvin Borth
B: 1934-02-08
D: 2019-04-10
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Borth, Marvin
Heather Clark
B: 1984-05-21
D: 2019-04-08
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Clark, Heather
Margaret Joan McCarthy
B: 1929-11-22
D: 2019-04-03
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McCarthy, Margaret Joan
Robert Frank
B: 1949-10-22
D: 2019-03-31
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Frank, Robert
Naim Bitar
B: 1928-09-11
D: 2019-03-28
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Bitar, Naim
Donna McCarthy
B: 1954-12-07
D: 2019-03-28
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McCarthy, Donna
William "Bill" Cunningham
B: 1940-03-27
D: 2019-03-28
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Cunningham, William "Bill"
Harold Briscoe
B: 1931-11-21
D: 2019-03-28
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Briscoe, Harold
Cadence Johnston
B: 2002-12-13
D: 2019-03-26
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Johnston, Cadence
Clifford Sparks
B: 1928-09-19
D: 2019-03-20
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Sparks, Clifford
Kenneth Potts
B: 1941-01-20
D: 2019-03-20
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Potts, Kenneth
Richard "Dick" Riedel
D: 2019-03-18
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Riedel, Richard "Dick"
Delores Weller
B: 1929-11-03
D: 2019-03-13
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Weller, Delores
Pamela Robinson
B: 1959-09-22
D: 2019-03-11
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Robinson, Pamela
Sherri McCarthy
B: 1963-09-01
D: 2019-03-09
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McCarthy, Sherri

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106 South Center
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:

Miscellaneous Notes and Instructions:

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