Obituaries

Ralph Boehm
B: 1929-10-06
D: 2017-04-22
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Boehm, Ralph
Bennie Hash
B: 1929-04-21
D: 2017-04-22
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Hash, Bennie
Marion DeSpain
B: 1924-06-21
D: 2017-04-18
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DeSpain, Marion
Harry "Tom" Losh
B: 1944-07-17
D: 2017-04-18
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Losh, Harry "Tom"
Wesley Gibson
B: 1935-05-24
D: 2017-04-16
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Gibson, Wesley
Mary Kennon
B: 1934-03-02
D: 2017-04-15
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Kennon, Mary
Kenneth Gillihan
B: 1945-11-19
D: 2017-04-15
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Gillihan, Kenneth
Shirley Cooper
B: 1937-09-30
D: 2017-04-14
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Cooper, Shirley
Edna Jenkins
B: 1948-06-29
D: 2017-04-12
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Jenkins, Edna
Clayton Roberts
B: 1947-12-18
D: 2017-04-11
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Roberts, Clayton
Isabel Hager
B: 1919-03-11
D: 2017-04-09
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Hager, Isabel
Max Gibson
B: 1941-10-09
D: 2017-04-06
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Gibson, Max
Brenda Stevenson
B: 1969-01-13
D: 2017-04-05
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Stevenson, Brenda
Jane "Janie" Wyckoff
B: 1949-03-16
D: 2017-04-01
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Wyckoff, Jane "Janie"
Charlene Turner
B: 1934-04-12
D: 2017-03-27
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Turner, Charlene
Richard Stablein
B: 1931-05-09
D: 2017-03-26
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Stablein, Richard
Carlyle Whitcomb
B: 1938-10-01
D: 2017-03-25
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Whitcomb, Carlyle
Scott Miller
B: 1938-09-11
D: 2017-03-19
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Miller, Scott
Carroll Babb
B: 1940-02-09
D: 2017-03-16
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Babb, Carroll
Dawn Wood
B: 1968-09-03
D: 2017-03-14
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Wood, Dawn
Minnie Ashmore
B: 1933-07-26
D: 2017-03-11
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Ashmore, Minnie

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106 South Center
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:

Miscellaneous Notes and Instructions:

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