Obituaries

Jack Fryrear
B: 1923-08-19
D: 2017-03-22
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Fryrear, Jack
Frances Fusselman
B: 1929-09-09
D: 2017-03-23
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Fusselman, Frances
Patricia Smith
B: 1942-01-04
D: 2017-03-22
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Smith, Patricia
Daniel Smith
B: 2008-03-15
D: 2017-03-17
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Smith, Daniel
Julia McKee
B: 1935-09-25
D: 2017-03-21
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McKee, Julia
Ewel Ventris
B: 1930-12-05
D: 2017-03-18
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Ventris, Ewel
Debra Coleman
B: 1954-10-28
D: 2017-03-13
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Coleman, Debra
John Moorman
B: 1943-11-25
D: 2017-03-15
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Moorman, John
Eva Harrall
B: 1930-01-17
D: 2017-03-09
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Harrall, Eva
Patricia Benes
B: 1940-05-17
D: 2017-03-14
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Benes, Patricia
Janice Laubhan
B: 1942-05-01
D: 2017-03-13
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Laubhan, Janice
Pauline Smith
B: 1927-11-12
D: 2017-03-12
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Smith, Pauline
Donald Petersen
B: 1955-05-20
D: 2017-03-02
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Petersen, Donald
Jana Benningfield
B: 1966-09-25
D: 2017-03-04
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Benningfield, Jana
Barbara Ahring
B: 1938-11-24
D: 2017-03-02
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Ahring, Barbara
Ingrid Hendrix
B: 1969-10-27
D: 2017-02-24
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Hendrix, Ingrid
Terry Chapel
B: 1946-10-25
D: 2017-02-22
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Chapel, Terry
Neva Dryden
B: 1942-06-06
D: 2017-02-26
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Dryden, Neva
Lena Sisney
B: 1925-03-01
D: 2017-02-14
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Sisney, Lena
Diane Celarier
B: 1922-01-02
D: 2017-02-10
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Celarier, Diane
Ralph Brumfield
B: 1918-11-23
D: 2017-02-07
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Brumfield, Ralph

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610 S. Duncan St.
PO Box 487
Stillwater, OK 74076
Phone: (405) 372-5550
Fax: (405) 372-5608

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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:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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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:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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