Obituaries

Charles Buckingham
B: 1937-09-29
D: 2017-07-21
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Buckingham, Charles
Ruth Hadle
B: 1940-02-11
D: 2017-07-16
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Hadle, Ruth
Sheryl Harmon
B: 1959-12-06
D: 2017-07-16
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Harmon, Sheryl
Paula Stephens
B: 1944-05-20
D: 2017-07-07
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Stephens, Paula
Marilyn Rockel
B: 1941-06-23
D: 2017-07-06
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Rockel, Marilyn
David Hill
B: 1932-04-29
D: 2017-07-04
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Hill, David
Charles Reedy
B: 1950-04-11
D: 2017-07-03
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Reedy, Charles
Jack Spoor
B: 1952-12-04
D: 2017-07-02
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Spoor, Jack
Elmer Brunker
B: 1924-02-29
D: 2017-07-01
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Brunker, Elmer
Pamela Capps
B: 1954-09-10
D: 2017-07-01
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Capps, Pamela
Ruby "Arthalene" Wyckoff
B: 1926-11-15
D: 2017-06-30
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Wyckoff, Ruby "Arthalene"
Joseph Sumi
B: 1924-05-13
D: 2017-06-29
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Sumi, Joseph
Mary Colleen Wuertz
B: 1951-08-22
D: 2017-06-29
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Wuertz, Mary Colleen
Larry Cordell
B: 1942-09-12
D: 2017-06-28
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Cordell, Larry
Dorothy Yocom
B: 1937-11-11
D: 2017-06-28
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Yocom, Dorothy
Grace Keeler
B: 1926-04-08
D: 2017-06-28
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Keeler, Grace
Clayton "Clay" Simmons
B: 1964-11-18
D: 2017-06-22
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Simmons, Clayton "Clay"
Richard "Harold" Hodge
B: 1928-04-16
D: 2017-06-16
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Hodge, Richard "Harold"
Helen Gillett
B: 1951-01-03
D: 2017-06-14
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Gillett, Helen
Elmer Pingleton
B: 1933-08-08
D: 2017-06-12
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Pingleton, Elmer
Gary Hendricks
B: 1943-10-12
D: 2017-06-08
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Hendricks, Gary

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PO Box 192
Gardner, KS 66030
Phone: 913-856-7111
Fax: 913-884-7009

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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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