Obituaries

Ella Acuff
B: 1932-03-21
D: 2017-11-18
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Acuff, Ella
Floyd Carter
B: 1940-12-21
D: 2017-11-17
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Carter, Floyd
Annette Freeland
B: 1939-03-12
D: 2017-11-16
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Freeland, Annette
Lee Brashier
B: 1936-03-05
D: 2017-11-11
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Brashier, Lee
Paul Greb
D: 2017-11-10
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Greb, Paul
Edna Barger-Kendall
D: 2017-11-09
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Barger-Kendall, Edna
Suzanne Chancellor
B: 1925-10-08
D: 2017-10-30
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Chancellor, Suzanne
Donald Killingsworth
B: 1933-11-13
D: 2017-10-29
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Killingsworth, Donald
Jennie Stout
B: 1921-10-05
D: 2017-10-29
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Stout, Jennie
Linda Weatherford
B: 1942-02-23
D: 2017-10-28
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Weatherford, Linda
Paul Mattox
D: 2017-10-26
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Mattox, Paul
Stella McCoy Jackson
B: 1940-03-01
D: 2017-10-18
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McCoy Jackson, Stella
Barbara Moore Wright
B: 1937-09-18
D: 2017-10-16
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Moore Wright, Barbara
Geraldine Mullins
B: 1936-04-21
D: 2017-10-15
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Mullins, Geraldine
Bob Shanks
B: 1957-09-16
D: 2017-10-14
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Shanks, Bob
Oscar Contreras
B: 1974-05-05
D: 2017-10-13
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Contreras, Oscar
Marian McBurnett
B: 1928-02-26
D: 2017-10-12
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McBurnett, Marian
Jimmy Mayes
B: 1963-12-21
D: 2017-10-11
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Mayes, Jimmy
Louie Jackson
B: 1945-08-16
D: 2017-10-07
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Jackson, Louie
John Richmond
B: 1933-03-06
D: 2017-10-07
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Richmond, John
Zachary Smith
B: 1981-06-09
D: 2017-10-05
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Smith, Zachary

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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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