Obituaries

David Downs
B: 1938-02-27
D: 2018-07-11
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Downs, David
Shirleen Hughart
B: 1937-12-09
D: 2018-07-04
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Hughart, Shirleen
L. Marshall Beard
D: 2018-07-04
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Beard, L. Marshall
Pamela Mitchell
B: 1964-06-19
D: 2018-07-02
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Mitchell, Pamela
Betty Burke
B: 1934-06-03
D: 2018-07-02
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Burke, Betty
John Hinds
B: 1963-07-22
D: 2018-07-01
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Hinds, John
Virginia Vance
B: 1930-10-05
D: 2018-06-30
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Vance, Virginia
Albert Weber
B: 1935-04-20
D: 2018-06-27
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Weber, Albert
Christopher Smith
B: 1961-06-06
D: 2018-06-25
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Smith, Christopher
Charles Frame
B: 1943-09-04
D: 2018-06-15
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Frame, Charles
Jackie Derrick
D: 2018-06-14
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Derrick, Jackie
Geraldine Decker
B: 1939-08-13
D: 2018-06-09
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Decker, Geraldine
Theresa Blevins
B: 1967-01-16
D: 2018-06-07
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Blevins, Theresa
Richard Geiger
B: 1947-07-28
D: 2018-06-02
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Geiger, Richard
Pauline Cox
B: 1927-07-09
D: 2018-05-29
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Cox, Pauline
Mary Hubler
D: 2018-05-22
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Hubler, Mary
Phylliss Rosson
B: 1924-03-01
D: 2018-05-21
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Rosson, Phylliss
Lark Corder
B: 1930-03-30
D: 2018-05-21
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Corder, Lark
Wanda Martin
B: 1940-02-12
D: 2018-05-18
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Martin, Wanda
George Lammers
B: 1943-10-08
D: 2018-05-16
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Lammers, George
Jimmie Howard
B: 1937-07-24
D: 2018-05-12
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Howard, Jimmie

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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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