Obituaries

Neva Kimberlin
B: 1931-08-07
D: 2020-08-10
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Kimberlin, Neva
Lois Stanfill Hubler
B: 1958-06-18
D: 2020-08-08
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Stanfill Hubler, Lois
Georgia Burns
B: 1927-11-12
D: 2020-08-05
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Burns, Georgia
Grace Blaylock
B: 1998-03-28
D: 2020-07-31
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Blaylock, Grace
Tommy Sharp
B: 1941-01-20
D: 2020-07-22
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Sharp, Tommy
Betty Harris
B: 1952-03-22
D: 2020-07-21
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Harris, Betty
Ruth Rogers
B: 1931-01-18
D: 2020-07-20
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Rogers, Ruth
Christopher Wolfe
B: 1976-08-10
D: 2020-07-16
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Wolfe, Christopher
Wanda Cordell
B: 1924-01-18
D: 2020-07-14
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Cordell, Wanda
Wilborn Reagan
B: 1924-08-01
D: 2020-07-13
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Reagan, Wilborn
Aubrey Wade
B: 1954-09-28
D: 2020-07-11
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Wade, Aubrey
Raymond McConnell
B: 1968-10-20
D: 2020-07-11
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McConnell, Raymond
Paul Gould
B: 1958-02-07
D: 2020-07-10
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Gould, Paul
Ethel Russell
B: 1951-09-20
D: 2020-07-03
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Russell, Ethel
Henry Todd
B: 1930-12-02
D: 2020-07-03
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Todd, Henry
Barbara Green
B: 1948-12-03
D: 2020-06-28
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Green, Barbara
Joe Lemley
D: 2020-06-25
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Lemley, Joe
Colleen Deen
B: 1956-11-11
D: 2020-06-25
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Deen, Colleen
Etha Tatum
B: 1942-03-24
D: 2020-06-18
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Tatum, Etha
Willis Wineberger
B: 1937-08-14
D: 2020-06-14
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Wineberger, Willis
Deborah Boulet
B: 1960-02-12
D: 2020-06-06
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Boulet, Deborah

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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:
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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