Obituaries

Dallas Jones
D: 2017-09-14
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Jones, Dallas
Retha Hubler
B: 1933-11-02
D: 2017-09-11
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Hubler, Retha
Betty Taylor
D: 2017-09-11
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Taylor, Betty
Linda Upton
B: 1950-03-08
D: 2017-09-11
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Upton, Linda
James Combs
B: 1934-11-19
D: 2017-09-11
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Combs, James
Wanda (Judy) Curtis
B: 1934-01-20
D: 2017-09-10
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Curtis, Wanda (Judy)
Max Langton
B: 1936-05-05
D: 2017-09-09
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Langton, Max
Ronald Hamm
B: 1944-01-26
D: 2017-09-08
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Hamm, Ronald
Tisha Crum
B: 1927-10-25
D: 2017-09-05
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Crum, Tisha
Brenda Cooper
B: 1949-11-25
D: 2017-09-02
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Cooper, Brenda
Wilson Newby
B: 1930-02-17
D: 2017-09-02
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Newby, Wilson
Patricia Coughran
B: 1944-11-14
D: 2017-08-30
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Coughran, Patricia
Gertha Allred
B: 1918-12-07
D: 2017-08-28
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Allred, Gertha
Vevelena Little
D: 2017-08-28
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Little, Vevelena
Roxanne Casinger
D: 2017-08-27
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Casinger, Roxanne
Dennis Gray
B: 1965-06-23
D: 2017-08-27
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Gray, Dennis
Terri King
B: 1954-08-11
D: 2017-08-23
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King, Terri
Nancy Clopton
B: 1976-06-04
D: 2017-08-19
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Clopton, Nancy
Dena Turley
B: 1941-02-17
D: 2017-08-19
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Turley, Dena
Jackey Myers
B: 1963-08-15
D: 2017-08-14
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Myers, Jackey
Janice Ann McCoy Tidwell
B: 1951-07-04
D: 2017-08-04
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McCoy Tidwell, Janice Ann

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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:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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