Obituaries

Charlotte Cameron
B: 1943-11-11
D: 2025-01-20
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Cameron, Charlotte
Jovetta VanOver
B: 1940-08-03
D: 2025-01-17
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VanOver, Jovetta
Sheree Booth
B: 1955-10-24
D: 2025-01-13
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Booth, Sheree
Rufus Hooper
B: 1956-03-13
D: 2025-01-07
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Hooper, Rufus
Robbie Clopton
B: 1971-10-14
D: 2025-01-07
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Clopton, Robbie
Robert Jones
B: 1966-11-14
D: 2025-01-06
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Jones, Robert
Samuel Lindeman
B: 1939-05-13
D: 2025-01-02
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Lindeman, Samuel
Jerry Polumbus
B: 1955-08-24
D: 2024-12-31
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Polumbus, Jerry
Phyllis Flinn
B: 1945-04-24
D: 2024-12-30
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Flinn, Phyllis
Velma Keener
B: 1950-01-07
D: 2024-12-28
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Keener, Velma
David Moore
B: 1969-03-24
D: 2024-12-28
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Moore, David
Pamela Harris
B: 1958-03-09
D: 2024-12-26
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Harris, Pamela
Harrison Jestice
B: 1935-01-19
D: 2024-12-21
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Jestice, Harrison
Patricia "Pat" Stafford
B: 1938-08-01
D: 2024-12-13
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Stafford, Patricia "Pat"
Mariela Gonzalez
B: 2003-10-18
D: 2024-12-09
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Gonzalez, Mariela
Luz Torres
B: 1967-11-14
D: 2024-12-05
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Torres, Luz
Lucille Squirrel
B: 1948-03-09
D: 2024-11-26
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Squirrel, Lucille
David Charles
B: 1959-12-05
D: 2024-11-26
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Charles, David
Obert VanOver
B: 1937-11-02
D: 2024-11-22
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VanOver, Obert
Harlan Ellis
B: 1929-12-09
D: 2024-11-15
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Ellis, Harlan
Miranda Thornburg
B: 2007-08-20
D: 2024-11-15
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Thornburg, Miranda

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2801 Chandler Road
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:

Miscellaneous Notes and Instructions:

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