Obituaries

Betty Pack
B: 1937-10-14
D: 2018-01-11
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Pack, Betty
Dixie Hogan
B: 1939-04-22
D: 2018-01-10
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Hogan, Dixie
Douglas Landers
B: 1926-12-11
D: 2018-01-10
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Landers, Douglas
Patrick Gore
B: 1932-04-30
D: 2018-01-09
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Gore, Patrick
Doyl McConnell
B: 1918-08-05
D: 2018-01-06
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McConnell, Doyl
VIcki Bloxham
B: 1951-06-16
D: 2018-01-06
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Bloxham, VIcki
Joe Russell
B: 1933-09-09
D: 2018-01-05
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Russell, Joe
Ellen McHuen
B: 1953-10-14
D: 2018-01-04
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McHuen, Ellen
Donald Hopkins
B: 1936-07-12
D: 2017-12-30
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Hopkins, Donald
Joanna Hester
B: 1927-09-18
D: 2017-12-29
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Hester, Joanna
Jerry Seay
B: 1947-06-08
D: 2017-12-29
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Seay, Jerry
Nicky Cauthon
B: 1964-07-16
D: 2017-12-25
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Cauthon, Nicky
Norma Padget
B: 1921-11-14
D: 2017-12-25
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Padget, Norma
Nicky Cauthon
B: 1964-07-16
D: 2017-12-25
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Cauthon, Nicky
Don Benson
B: 1960-03-11
D: 2017-12-23
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Benson, Don
Elmer Raley
B: 1924-06-02
D: 2017-12-22
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Raley, Elmer
Peggy Wilson
B: 1922-08-13
D: 2017-12-20
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Wilson, Peggy
Lloyd Ellis
D: 2017-12-10
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Ellis, Lloyd
Mark Hardin
B: 1963-11-14
D: 2017-12-09
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Hardin, Mark
Ruby Godfrey
B: 1944-08-03
D: 2017-12-04
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Godfrey, Ruby
Wilma Burris Coffman
B: 1933-11-04
D: 2017-12-01
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Burris Coffman, Wilma

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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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