Obituaries

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
Karl Tinsley
B: 1947-03-31
D: 2017-06-07
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Tinsley, Karl
Pearl Findley
B: 1934-08-04
D: 2017-06-05
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Findley, Pearl
Lyle Highfill
B: 1929-12-13
D: 2017-06-01
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Highfill, Lyle
Sandra "Sandy" Husted
B: 1936-09-08
D: 2017-05-30
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Husted, Sandra "Sandy"
Kieth Spielbusch
B: 1949-05-02
D: 2017-05-28
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Spielbusch, Kieth
Jolene Hickel
B: 1947-07-21
D: 2017-05-26
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Hickel, Jolene
Dorothy Stoehr
B: 1928-08-05
D: 2017-05-24
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Stoehr, Dorothy
Adeline Nekuda
B: 1928-05-16
D: 2017-05-22
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Nekuda, Adeline
Marilyn Franklin
B: 1942-07-16
D: 2017-05-21
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Franklin, Marilyn
Kenneth Clasen
B: 1945-10-27
D: 2017-05-20
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Clasen, Kenneth
Nicholas Hauser
B: 1990-08-13
D: 2017-05-19
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Hauser, Nicholas
Bernice Holden
B: 1930-09-28
D: 2017-05-17
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Holden, Bernice
Sean Callahan
B: 1997-05-17
D: 2017-05-07
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Callahan, Sean
Irvin "Irv" Kneedler
B: 1923-04-08
D: 2017-04-30
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Kneedler, Irvin "Irv"
Nancy Braman
B: 1965-05-09
D: 2017-04-25
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Braman, Nancy
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

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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:

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