Obituaries

Bobby Lenox
B: 1935-07-07
D: 2021-01-16
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Lenox, Bobby
Nancy Battenfield
B: 1934-11-01
D: 2021-01-15
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Battenfield, Nancy
Shelby DeLuce
B: 1991-03-11
D: 2021-01-10
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DeLuce, Shelby
Jimmie Dunlap
B: 1948-01-27
D: 2021-01-09
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Dunlap, Jimmie
Benjamin Walters
B: 1923-04-12
D: 2021-01-05
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Walters, Benjamin
Donita McFarland
B: 1968-09-05
D: 2021-01-05
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McFarland, Donita
Paul Sheridan
B: 1944-09-11
D: 2021-01-04
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Sheridan, Paul
Nancy Wiedel
B: 1930-03-11
D: 2021-01-01
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Wiedel, Nancy
James Smith
B: 1945-01-06
D: 2020-12-28
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Smith, James
Jimmy Sallee
B: 1936-12-25
D: 2020-12-24
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Sallee, Jimmy
Johnny Potts
B: 1959-01-17
D: 2020-12-24
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Potts, Johnny
J D Rogers
B: 1941-01-22
D: 2020-12-24
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Rogers, J D
John Guthrie
B: 1967-08-08
D: 2020-12-23
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Guthrie, John
Nicolas “Blake” Smith
B: 1985-01-06
D: 2020-12-14
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Smith, Nicolas “Blake”
Richard Mullican
B: 1946-10-31
D: 2020-12-12
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Mullican, Richard
Gabriel Castillo
B: 1964-06-15
D: 2020-12-11
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Castillo, Gabriel
George Davis
B: 1939-06-23
D: 2020-12-09
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Davis, George
Carroll Cox
B: 1936-09-30
D: 2020-12-08
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Cox, Carroll
Charles Dixon
B: 1933-10-10
D: 2020-12-07
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Dixon, Charles
Gladys Walters
B: 1924-05-20
D: 2020-12-06
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Walters, Gladys
Lucia Webb
B: 1957-10-08
D: 2020-12-06
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Webb, Lucia

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2801 Chandler Road
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:

Miscellaneous Notes and Instructions:

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