Obituaries

Jerry Moody
B: 1946-10-02
D: 2020-10-14
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Moody, Jerry
Xavier Apple
B: 1994-11-13
D: 2020-10-10
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Apple, Xavier
Ramona Armstrong
B: 1941-10-07
D: 2020-10-09
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Armstrong, Ramona
Saundra Hyslop
B: 1945-03-27
D: 2020-10-06
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Hyslop, Saundra
Virginia Davis
B: 1956-12-09
D: 2020-10-03
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Davis, Virginia
Eddie Lively
B: 1941-03-07
D: 2020-09-30
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Lively, Eddie
Lou Ann Roden
B: 1930-07-08
D: 2020-09-28
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Roden, Lou Ann
Misti Lawson
B: 1972-08-09
D: 2020-09-28
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Lawson, Misti
Cortney Hull
B: 1987-11-22
D: 2020-09-26
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Hull, Cortney
Howard Rhea
B: 1945-03-29
D: 2020-09-26
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Rhea, Howard
Josephine Keisler
B: 1926-05-29
D: 2020-09-25
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Keisler, Josephine
Patricia Walker
B: 1945-06-03
D: 2020-09-23
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Walker, Patricia
Leatha Miller
B: 1927-04-29
D: 2020-09-20
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Miller, Leatha
Judith Ballard
B: 1944-03-18
D: 2020-09-20
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Ballard, Judith
Kathryn Kaiser
B: 1938-07-05
D: 2020-09-13
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Kaiser, Kathryn
Ruby Merriman
B: 1955-01-07
D: 2020-09-12
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Merriman, Ruby
Donald Clay
B: 1936-02-06
D: 2020-09-09
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Clay, Donald
Ruth Ballard
B: 1922-04-02
D: 2020-09-05
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Ballard, Ruth
Eva Lena Moses
B: 1932-12-12
D: 2020-09-05
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Moses, Eva Lena
Helen Rogers
B: 1953-03-12
D: 2020-08-27
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Rogers, Helen
Jerry Sanders
B: 1947-10-20
D: 2020-08-26
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Sanders, Jerry

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Muskogee, OK 74403
Phone: 918-683-7788
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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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