Obituaries

Carmen Dorris
B: 1936-04-05
D: 2019-04-05
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Dorris, Carmen
Jimmie White
B: 1935-05-16
D: 2019-08-14
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White, Jimmie
Betty Dry
B: 1933-04-07
D: 2019-08-11
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Dry, Betty
Phyllis Lambert
B: 1935-02-12
D: 2019-08-11
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Lambert, Phyllis
Harry Wallace
B: 1931-03-05
D: 2019-07-30
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Wallace, Harry
Robert White
B: 1938-02-15
D: 2019-07-28
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White, Robert
Randy Robbins
B: 1963-11-02
D: 2019-07-28
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Robbins, Randy
James Seals
B: 1935-11-02
D: 2019-07-28
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Seals, James
J.H. Fleming
B: 1938-02-10
D: 2019-07-09
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Fleming, J.H.
Larry Axton
B: 1945-09-05
D: 2019-07-17
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Axton, Larry
Elizabeth Rogers
B: 1917-12-21
D: 2019-07-04
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Rogers, Elizabeth
Henry Dickens
B: 1939-01-21
D: 2019-07-10
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Dickens, Henry
Jamie Harney
B: 1989-07-03
D: 2019-07-09
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Harney, Jamie
John Dearinger
B: 1925-04-22
D: 2019-06-30
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Dearinger, John
Thomas Bertenshaw
B: 1935-10-18
D: 2019-07-04
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Bertenshaw, Thomas
Carolyn Osburn
B: 1939-02-07
D: 2019-07-04
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Osburn, Carolyn
Theodore Bostian
B: 1930-05-18
D: 2019-06-30
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Bostian, Theodore
Eddie Richardson
B: 1923-09-26
D: 2019-06-28
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Richardson, Eddie
Mary Caldwell
B: 1927-09-08
D: 2019-06-29
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Caldwell, Mary
Evelyn Roth
B: 1930-03-13
D: 2019-06-25
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Roth, Evelyn
Virginia Turvey
B: 1925-09-25
D: 2019-05-06
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Turvey, Virginia

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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:
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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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