Obituaries

Billie Kaiser
B: 1932-06-08
D: 2017-07-23
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Kaiser, Billie
Martha Dunlap
B: 1935-01-17
D: 2017-07-20
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Dunlap, Martha
David Smith
B: 1955-05-04
D: 2017-07-17
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Smith, David
Timothy Thompson
B: 1950-06-12
D: 2017-07-17
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Thompson, Timothy
Robert Hutchins
B: 1958-12-12
D: 2017-07-16
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Hutchins, Robert
Katie Wright
B: 1919-05-15
D: 2017-07-04
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Wright, Katie
Barbara Shamblin
B: 1945-07-29
D: 2017-07-01
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Shamblin, Barbara
Shirley Brown (Braun) Leathers
D: 2017-06-27
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Brown (Braun) Leathers, Shirley
David Worth
B: 1947-08-16
D: 2017-06-26
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Worth, David
Lloyd Kiddy
B: 1922-08-01
D: 2017-06-25
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Kiddy, Lloyd
Louise Fisher Balz
D: 2017-06-22
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Fisher Balz, Louise
Christopher Saffell
B: 1976-09-03
D: 2017-06-22
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Saffell, Christopher
Helen Wescott
B: 1926-04-24
D: 2017-06-16
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Wescott, Helen
Alvin Wiedel
B: 1959-10-24
D: 2017-06-14
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Wiedel, Alvin
Marie Branscum
B: 1930-08-31
D: 2017-06-14
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Branscum, Marie
Martha Scarbrough
D: 2017-06-06
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Scarbrough, Martha
Ellen Johnson
B: 1943-04-16
D: 2017-06-02
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Johnson, Ellen
Kathie Briley
B: 1950-06-06
D: 2017-06-01
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Briley, Kathie
Bobby Newman
B: 1935-02-23
D: 2017-05-31
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Newman, Bobby
Ann Summerlin
B: 1936-01-10
D: 2017-05-30
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Summerlin, Ann
Linda Ford
B: 1951-01-27
D: 2017-05-26
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Ford, Linda

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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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