Obituaries

Robert Gwinner
B: 1924-10-25
D: 2018-01-13
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Gwinner, Robert
Benjamin Stephenson
B: 1974-12-24
D: 2018-01-08
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Stephenson, Benjamin
Richard Headley
B: 1941-10-11
D: 2018-01-04
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Headley, Richard
Adelaida Mora
B: 1944-05-13
D: 2018-01-04
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Mora, Adelaida
Margaret Springer
B: 1981-10-04
D: 2018-01-02
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Springer, Margaret
Rosalie Harrison
B: 1949-04-23
D: 2017-12-30
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Harrison, Rosalie
Sandra Fisher
B: 1947-11-08
D: 2017-12-10
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Fisher, Sandra
Lila Corrock
B: 1927-05-23
D: 2017-12-05
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Corrock, Lila
Joyce Drexler-Christopherson
B: 1929-03-09
D: 2017-12-01
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Drexler-Christopherson, Joyce
Debra Dupuis
B: 1954-08-10
D: 2017-11-25
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Dupuis, Debra
David Cesko
B: 1934-03-23
D: 2017-11-23
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Cesko, David
Roberto Gonzalez - Reyes
B: 1999-12-08
D: 2017-11-22
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Gonzalez - Reyes, Roberto
Dolores Parke
B: 1929-03-10
D: 2017-11-21
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Parke, Dolores
Sandland Webb
B: 1935-03-11
D: 2017-11-20
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Webb, Sandland
Parkman T. Brooks
B: 1927-02-24
D: 2017-11-15
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Brooks, Parkman T.
Joseph David
B: 1929-01-17
D: 2017-11-10
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David, Joseph
Destiny Caudle
B: 1975-12-19
D: 2017-11-06
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Caudle, Destiny
John Stansberry
B: 1940-05-18
D: 2017-11-02
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Stansberry, John
Robert Logan
B: 1929-12-09
D: 2017-11-02
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Logan, Robert
Salvador Duran Perez
B: 1980-08-11
D: 2017-10-28
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Duran Perez, Salvador
Larry Burd
B: 1952-06-14
D: 2017-10-26
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Burd, Larry

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403 North Main St.
Hailey, ID 83333
Phone: 208-788-2244
Fax: 208-788-4792

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
City of Birth:
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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:
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

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Visitation Hours:
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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