Obituaries

Evelyn Mullins
D: 2017-04-17
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Mullins, Evelyn
George Hoose
B: 1930-12-04
D: 2017-04-14
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Hoose, George
John Shimack
B: 1947-02-25
D: 2017-04-14
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Shimack, John
Robert Benge
B: 1926-06-02
D: 2017-04-11
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Benge, Robert
Harold Brumley
B: 1946-11-04
D: 2017-04-08
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Brumley, Harold
Stanley Nail
B: 1949-10-09
D: 2017-04-05
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Nail, Stanley
Jackie Kirk
B: 1923-03-09
D: 2017-04-02
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Kirk, Jackie
Marion Bell
D: 2017-03-29
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Bell, Marion
Richard Shamblin
B: 1933-11-09
D: 2017-03-27
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Shamblin, Richard
Barbara Mitchell
B: 1933-08-11
D: 2017-03-22
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Mitchell, Barbara
Lois Whitley
D: 2017-03-20
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Whitley, Lois
Reta Tidwell
B: 1934-10-08
D: 2017-03-19
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Tidwell, Reta
Helen Fowler
B: 1944-11-25
D: 2017-03-19
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Fowler, Helen
Ralph Burrows
B: 2017-03-23
D: 2017-03-16
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Burrows, Ralph
David Henson
B: 1962-12-01
D: 2017-03-15
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Henson, David
Sharon Watkins
B: 1943-12-30
D: 2017-03-10
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Watkins, Sharon
Loyd Williams
B: 1963-06-29
D: 2017-03-04
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Williams, Loyd
Jean Campbell
B: 1940-07-25
D: 2017-03-01
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Campbell, Jean
Steven Perry
B: 1983-02-26
D: 2017-02-27
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Perry, Steven
Sherri Zelnick
B: 1947-01-22
D: 2017-02-26
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Zelnick, Sherri
Bryon Livingston
B: 1972-02-17
D: 2017-02-24
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Livingston, Bryon

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2801 Chandler Rd.
Muskogee, OK 74403
Phone: 918-683-7788
Fax: 918-682-2699

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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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