Obituaries

James "Jim" Hasse
B: 1946-10-19
D: 2018-02-10
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Hasse, James "Jim"
Kyler Schasteen-Boswell
B: 2018-02-08
D: 2018-02-10
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Schasteen-Boswell, Kyler
Eugene Sawyer
B: 1930-11-13
D: 2018-02-09
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Sawyer, Eugene
Audrey Wolfe
B: 1935-03-03
D: 2018-02-09
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Wolfe, Audrey
Pauline Samp
B: 1927-03-01
D: 2018-02-06
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Samp, Pauline
James "Jim" Campbell
B: 1937-06-24
D: 2018-02-02
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Campbell, James "Jim"
Alice "Joan" Morris
B: 1930-09-27
D: 2018-02-02
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Morris, Alice "Joan"
Wyona Marksbury
B: 1928-06-07
D: 2018-02-02
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Marksbury, Wyona
Ava Brightwell
B: 1922-11-24
D: 2018-02-01
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Brightwell, Ava
Ashley Harlan
B: 1994-12-22
D: 2018-01-30
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Harlan, Ashley
Judith "Judy" Hubbard
B: 1938-05-04
D: 2018-01-28
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Hubbard, Judith "Judy"
Albert Beatty
B: 1932-09-09
D: 2018-01-26
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Beatty, Albert
Allan Kugel
B: 1942-08-23
D: 2018-01-25
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Kugel, Allan
Goulding "Sandy" Sanderson
B: 1927-04-26
D: 2018-01-18
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Sanderson, Goulding "Sandy"
Minnie Loughin
B: 1931-08-03
D: 2018-01-14
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Loughin, Minnie
Vespersia Pennington
B: 1925-03-29
D: 2018-01-13
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Pennington, Vespersia
Cecil Norman
B: 1934-09-02
D: 2018-01-12
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Norman, Cecil
Beverly Bubeck
B: 1933-06-27
D: 2018-01-10
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Bubeck, Beverly
Katherine Reynolds
B: 1926-02-04
D: 2018-01-10
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Reynolds, Katherine
Thelma White
B: 1926-02-03
D: 2018-01-07
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White, Thelma
Craig Linden
B: 1955-03-09
D: 2018-01-07
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Linden, Craig

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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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