Obituaries

Jacquelyne "Jackie" Breeden Flynn
B: 1942-04-05
D: 2017-04-21
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Breeden Flynn, Jacquelyne "Jackie"
Wayne Euriga
B: 1930-01-04
D: 2017-04-19
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Euriga, Wayne
David Duffer
B: 1957-12-09
D: 2017-04-18
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Duffer, David
Randy Joe Sanders
B: 1956-03-12
D: 2017-04-15
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Sanders, Randy Joe
Frieda Witt
D: 2017-04-15
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Witt, Frieda
Edna Jean Wolff
B: 1925-06-09
D: 2017-04-08
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Wolff, Edna Jean
Sharon Lorain Kosick
B: 1951-11-13
D: 2017-04-07
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Kosick, Sharon Lorain
Libby Mae Moore
B: 1924-05-25
D: 2017-04-06
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Moore, Libby Mae
Donna Jean Lee
B: 1968-11-28
D: 2017-04-05
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Lee, Donna Jean
Betty Crouse
B: 1926-12-21
D: 2017-04-04
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Crouse, Betty
Arvil Kirby
B: 1941-11-14
D: 2017-03-30
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Kirby, Arvil
Roscoe Arney
B: 1940-04-19
D: 2017-03-25
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Arney, Roscoe
Cassie Lamoreaux
B: 1923-05-12
D: 2017-03-18
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Lamoreaux, Cassie
Lisa Ellen Tandy
B: 1958-10-21
D: 2017-03-17
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Tandy, Lisa Ellen
Gerda Renate Harter
B: 1925-12-20
D: 2017-03-17
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Harter, Gerda Renate
Reverend Donald Earl Black
D: 2017-03-16
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Black, Reverend Donald Earl
William F. Walker
B: 1936-06-16
D: 2017-03-15
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Walker, William F.
Dorothy M. Burkhart
B: 1928-04-30
D: 2017-03-15
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Burkhart, Dorothy M.
Paul D. Yager
B: 1945-01-27
D: 2017-03-13
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Yager, Paul D.
Gary Bingham
B: 1950-09-13
D: 2017-03-11
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Bingham, Gary
Margaret Baker
B: 1926-09-03
D: 2017-03-09
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Baker, Margaret

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300 South Morton Street ( U.S. 31)
Franklin, IN 46131
Phone: 317-738-0202
Fax: 317-736-0210

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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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