Obituaries

Carolyn Taylor
B: 1940-09-18
D: 2020-02-18
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Taylor, Carolyn
James Rains,
B: 1936-03-18
D: 2020-02-18
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Rains, , James
Albert "Dick" Gieringer
B: 1936-04-12
D: 2020-02-16
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Gieringer, Albert "Dick"
Charles "Mike" Cottengim
B: 1945-03-07
D: 2020-02-16
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Cottengim, Charles "Mike"
Dallis Palmer
B: 1997-08-30
D: 2020-02-12
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Palmer, Dallis
Cynthia Miller
B: 1941-10-01
D: 2020-02-11
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Miller, Cynthia
Gregory Cooper
B: 1946-09-17
D: 2020-02-10
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Cooper, Gregory
Mark Warrell
B: 1953-07-13
D: 2020-02-08
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Warrell, Mark
Eldon Morrison
B: 1936-02-21
D: 2020-02-06
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Morrison, Eldon
Billy "Bill" Roberts
B: 1928-06-28
D: 2020-02-03
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Roberts, Billy "Bill"
Norma Abbott
B: 1937-10-11
D: 2020-02-02
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Abbott, Norma
Dixie Hoogendoorn
B: 1937-10-20
D: 2020-02-01
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Hoogendoorn, Dixie
Betty Marsh
B: 1923-12-02
D: 2020-01-30
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Marsh, Betty
Goldie Price
B: 1926-01-31
D: 2020-01-29
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Price, Goldie
Rosemary Taylor
B: 1939-04-27
D: 2020-01-26
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Taylor, Rosemary
Mathew "Dave" Peters, II
B: 1954-03-01
D: 2020-01-23
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Peters, II, Mathew "Dave"
Brian Roberts
B: 1972-08-24
D: 2020-01-23
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Roberts, Brian
Harold Taylor
B: 1942-08-14
D: 2020-01-22
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Taylor, Harold
Shawn Swearngin
B: 1959-08-03
D: 2020-01-20
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Swearngin, Shawn
Carol Hoch
B: 1953-01-02
D: 2020-01-09
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Hoch, Carol
Charles Hathaway
B: 1944-06-23
D: 2020-01-08
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Hathaway, Charles

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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:

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