Obituaries

Grace Givan
B: 1939-11-13
D: 2017-05-21
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Givan, Grace
Marilyn Hall
B: 1944-11-04
D: 2017-05-18
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Hall, Marilyn
Leslie Jurgens
B: 1941-03-05
D: 2017-05-17
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Jurgens, Leslie
Carol Fleming
B: 1940-10-31
D: 2017-05-16
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Fleming, Carol
Deborah Truscelli
B: 1951-01-04
D: 2017-05-15
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Truscelli, Deborah
Robert Charles
B: 1936-05-03
D: 2017-05-15
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Charles, Robert
Jodie Baer
B: 1960-07-29
D: 2017-05-14
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Baer, Jodie
Annie Temple
B: 1924-10-10
D: 2017-05-12
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Temple, Annie
Lieselottie Deskins
B: 1933-06-08
D: 2017-05-12
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Deskins, Lieselottie
Alan Reise
B: 1934-02-04
D: 2017-05-10
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Reise, Alan
Roy Wheeler
B: 2017-12-01
D: 2017-05-09
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Wheeler, Roy
Thomas Schrimpf
B: 1946-09-01
D: 2017-05-07
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Schrimpf, Thomas
Barry Johnson
B: 1966-02-24
D: 2017-05-07
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Johnson, Barry
Richard Gerzina
B: 1950-01-04
D: 2017-05-05
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Gerzina, Richard
Sophie Rush
B: 1987-10-10
D: 2017-05-05
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Rush, Sophie
Elizabeth Duran
B: 1933-10-01
D: 2017-05-04
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Duran, Elizabeth
James Bradford
B: 1924-08-16
D: 2017-05-02
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Bradford, James
Herminia Shannon
B: 1929-05-29
D: 2017-04-30
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Shannon, Herminia
Patricia Henderson
B: 1932-12-05
D: 2017-04-30
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Henderson, Patricia
Trevor Howard
B: 1979-12-13
D: 2017-04-30
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Howard, Trevor
Verna Herl
B: 1932-01-26
D: 2017-04-29
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Herl, Verna

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Phone: 719-634-1597
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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)
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Residence History:
Father's Name:
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Mother's Name:
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Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
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Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
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Jewelry:
Glasses:
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The cemetery property is in the name of:

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