Obituaries

Teddy Dace
B: 1939-10-16
D: 2019-06-21
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Dace, Teddy
David Shoulders
B: 1938-10-16
D: 2019-06-20
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Shoulders, David
Albert "Bud" Jenks
B: 1939-08-31
D: 2019-06-18
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Jenks, Albert "Bud"
Charles "Andy" Peery
B: 1919-09-11
D: 2019-06-16
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Peery, Charles "Andy"
Connie Clasen
B: 1951-05-05
D: 2019-06-16
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Clasen, Connie
Curtis Large
B: 1937-11-20
D: 2019-06-14
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Large, Curtis
David Carter
B: 1962-11-13
D: 2019-06-11
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Carter, David
Betty Coble
B: 1934-03-04
D: 2019-06-09
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Coble, Betty
Buck Adrian
B: 1948-09-24
D: 2019-06-07
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Adrian, Buck
Jed Bean
B: 1960-06-19
D: 2019-06-07
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Bean, Jed
Helen Pennock
B: 1924-05-14
D: 2019-06-06
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Pennock, Helen
Ulrich Scheunemann
B: 1928-07-24
D: 2019-06-02
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Scheunemann, Ulrich
Christina Tsouflias
B: 2018-06-20
D: 2019-06-01
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Tsouflias, Christina
Robert "Bob" Reimers
B: 1933-05-28
D: 2019-05-29
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Reimers, Robert "Bob"
Janet Horton
B: 1938-04-05
D: 2019-05-29
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Horton, Janet
Thor "Shawn" McCannon
B: 1970-09-06
D: 2019-05-29
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McCannon, Thor "Shawn"
Kathleen Mullins
B: 1921-11-22
D: 2019-05-24
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Mullins, Kathleen
Timothy Krehbiel
B: 1957-11-02
D: 2019-05-19
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Krehbiel, Timothy
Michael Roach
B: 1945-07-07
D: 2019-05-12
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Roach, Michael
Bruce Stahl
B: 1966-12-24
D: 2019-05-10
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Stahl, Bruce
Stanley "Stan" Harley
B: 1934-03-12
D: 2019-05-10
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Harley, Stanley "Stan"

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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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