Obituaries

Zai'Bree Davis
B: 2024-04-15
D: 2024-04-22
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Davis, Zai'Bree
Judy Parrott
B: 1953-09-30
D: 2024-04-20
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Parrott, Judy
David Dickerson
B: 1946-11-13
D: 2024-04-19
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Dickerson, David
Kitty Meares
B: 1927-12-06
D: 2024-04-18
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Meares, Kitty
Della Lindley
B: 1931-10-12
D: 2024-04-13
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Lindley, Della
John Hughart
B: 1956-09-11
D: 2024-04-09
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Hughart, John
Kathleen McAnally
B: 1955-06-06
D: 2024-04-07
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McAnally, Kathleen
Kenneth Simeroth
B: 1943-09-19
D: 2024-03-29
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Simeroth, Kenneth
Clara Perry
B: 1932-09-21
D: 2024-03-25
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Perry, Clara
LaJuana Jenkins
B: 1962-02-14
D: 2024-03-22
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Jenkins, LaJuana
Vivian Jennings
B: 1946-07-07
D: 2024-03-20
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Jennings, Vivian
Beverly Hill
B: 1939-06-17
D: 2024-03-14
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Hill, Beverly
Cynthia Ferland
B: 1968-02-03
D: 2024-03-11
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Ferland, Cynthia
Shirley Harrison
B: 1938-08-02
D: 2024-03-09
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Harrison, Shirley
Delcie Millsap
B: 1942-09-05
D: 2024-03-06
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Millsap, Delcie
Barbara Hearn
B: 1947-08-28
D: 2024-03-01
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Hearn, Barbara
David Woodard
B: 1951-08-26
D: 2024-02-29
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Woodard, David
AV Harris
B: 1944-01-15
D: 2024-02-23
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Harris, AV
Bessie Felts
B: 1935-02-18
D: 2024-02-15
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Felts, Bessie
Clinton Mullings
B: 1961-03-21
D: 2024-02-11
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Mullings, Clinton
Rinda Cauthon
B: 1947-11-14
D: 2024-02-09
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Cauthon, Rinda

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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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