Obituaries

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
Charles "Charlie" Stottlemire
B: 1926-12-09
D: 2017-03-08
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Stottlemire, Charles "Charlie"
Maxine Bacon
B: 1919-10-01
D: 2017-03-08
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Bacon, Maxine
Margaret Wilson
B: 1927-07-06
D: 2017-03-07
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Wilson, Margaret
Susan "Sue" Bauer
B: 1957-01-25
D: 2017-03-07
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Bauer, Susan "Sue"
Lee Peters
B: 1939-10-27
D: 2017-03-05
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Peters, Lee
Bernita Wetherington
B: 1944-01-04
D: 2017-03-01
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Wetherington, Bernita
Louise Thomsen
B: 1930-03-08
D: 2017-02-24
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Thomsen, Louise
Cameron Kirchner
B: 1998-07-12
D: 2017-02-22
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Kirchner, Cameron
Stan Marvel
B: 1956-11-08
D: 2017-02-20
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Marvel, Stan
Kenton Hilton
B: 1961-05-27
D: 2017-02-20
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Hilton, Kenton
Wanda Meek
B: 1928-01-10
D: 2017-02-19
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Meek, Wanda
David Singer
B: 1947-08-26
D: 2017-02-18
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Singer, David
Issiah Pendergrass
B: 1998-04-07
D: 2017-02-18
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Pendergrass, Issiah
Dennis Sumner
B: 1932-03-19
D: 2017-02-16
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Sumner, Dennis
Dennis "Denny" Pritchard
B: 1954-05-23
D: 2017-02-14
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Pritchard, Dennis "Denny"
Lori Frakes-Nelson
B: 1973-05-21
D: 2017-02-12
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Frakes-Nelson, Lori
Gerald Braun
B: 1924-09-23
D: 2017-02-11
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Braun, Gerald

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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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