Obituaries

Kendra Hada
B: 1957-11-29
D: 2021-06-11
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Hada, Kendra
John Stretch
B: 1953-10-25
D: 2021-06-11
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Stretch, John
Paul Stewart
B: 1941-05-19
D: 2021-06-08
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Stewart, Paul
Miles Beverage
B: 1957-09-08
D: 2021-06-06
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Beverage, Miles
Jerry Lewis
B: 1968-12-05
D: 2021-06-04
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Lewis, Jerry
Brian McDaniel
B: 1964-07-03
D: 2021-06-04
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McDaniel, Brian
Terri Terrell
B: 1956-10-13
D: 2021-06-01
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Terrell, Terri
J.C. Lord
B: 1943-03-12
D: 2021-05-25
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Lord, J.C.
Hal Myers
B: 1937-03-13
D: 2021-05-23
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Myers, Hal
Ruby Ebert
B: 1932-05-30
D: 2021-05-22
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Ebert, Ruby
William Meeks
B: 1928-04-02
D: 2021-05-21
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Meeks, William
Linda Dallas
B: 1947-10-13
D: 2021-05-20
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Dallas, Linda
Paulene Williams
B: 1978-07-13
D: 2021-05-20
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Williams, Paulene
David Hollis
B: 1950-10-27
D: 2021-05-18
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Hollis, David
Stephen Darden
B: 1957-06-09
D: 2021-05-18
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Darden, Stephen
Charles Stowers
B: 1958-05-31
D: 2021-05-17
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Stowers, Charles
Loretta Keith
B: 1948-11-08
D: 2021-05-16
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Keith, Loretta
Dorothy Parker
B: 1938-11-15
D: 2021-05-09
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Parker, Dorothy
Ruby West
B: 1930-05-22
D: 2021-05-06
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West, Ruby
Bruce Kerns
B: 1957-05-28
D: 2021-05-03
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Kerns, Bruce
Ruth Dyer
B: 1925-06-16
D: 2021-04-24
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Dyer, Ruth

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Muskogee, OK 74403
Phone: 918-683-7788
Fax: 918-682-2699

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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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