Obituaries

Larry Dunn
B: 1957-06-06
D: 2019-09-18
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Dunn, Larry
Fred Davis
B: 1949-04-25
D: 2019-09-17
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Davis , Fred
James Whitehead
B: 1942-03-18
D: 2019-08-20
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Whitehead, James
Wanda Edwards
B: 1928-11-14
D: 2019-08-03
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Edwards, Wanda
Martha Emanuel
B: 1958-12-25
D: 2019-05-02
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Emanuel, Martha
Donna Sheets
B: 1954-10-16
D: 2019-04-25
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Sheets, Donna
Evelyn DenHartog
B: 1933-08-31
D: 2019-04-15
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DenHartog, Evelyn
Lloyd Jager
B: 1937-05-22
D: 2019-03-15
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Jager, Lloyd
Harold Ballew
B: 1953-07-08
D: 2019-01-19
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Ballew, Harold
Mildred Johnson
B: 1925-12-31
D: 2019-01-19
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Johnson, Mildred
Martha Sharp
B: 1948-02-15
D: 2019-01-05
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Sharp, Martha
Richard Williams
B: 1951-09-17
D: 2018-12-24
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Williams, Richard
Donna Hargis
B: 1937-08-21
D: 2018-11-25
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Hargis, Donna
Chester Harnden
B: 1946-04-01
D: 2018-11-14
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Harnden, Chester
Denise Johnson
B: 1978-06-23
D: 2018-09-25
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Johnson, Denise
LeRoy Osterloh
B: 1946-03-14
D: 2018-09-13
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Osterloh, LeRoy
Terry Kirby
B: 1941-12-16
D: 2018-08-19
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Kirby, Terry
Kenneth Arkel
B: 1942-11-04
D: 2018-07-07
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Arkel, Kenneth
Wilma Sereg
B: 1924-08-17
D: 2018-04-25
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Sereg, Wilma
George Myers
B: 1955-04-20
D: 2018-03-22
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Myers, George
Bob Sinnif
B: 1933-10-09
D: 2018-03-14
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Sinnif, Bob

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Eddyville, IA 52553
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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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