Obituaries

Dean Gawith
B: 1930-12-31
D: 2018-12-13
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Gawith, Dean
Charles Carroll
B: 1941-09-17
D: 2018-12-12
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Carroll, Charles
Rita Bowles
B: 1927-10-07
D: 2018-12-10
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Bowles, Rita
Janet Carpenter
B: 1941-09-14
D: 2018-12-07
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Carpenter, Janet
Margaret Van Eaton
B: 1925-08-02
D: 2018-11-20
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Van Eaton, Margaret
Dale Suter
B: 1935-04-15
D: 2018-11-19
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Suter, Dale
Roger Ausmus
B: 1939-04-15
D: 2018-11-16
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Ausmus, Roger
Floris Weiser
B: 1922-12-29
D: 2018-11-14
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Weiser, Floris
Kary Anderson
B: 1954-01-05
D: 2018-11-02
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Anderson, Kary
Margaret Fikan
B: 1934-08-22
D: 2018-10-30
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Fikan, Margaret
Walter Rippe
B: 1924-11-18
D: 2018-10-17
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Rippe, Walter
Olive Hafner
B: 1931-08-04
D: 2018-10-16
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Hafner, Olive
Genevieve McKain
B: 1919-06-19
D: 2018-10-14
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McKain, Genevieve
Leon Brethower
B: 1930-07-31
D: 2018-10-12
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Brethower, Leon
Velma Boyd
B: 1933-11-15
D: 2018-10-04
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Boyd, Velma
Ruby Bixenman
B: 1928-01-01
D: 2018-09-29
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Bixenman, Ruby
Van Zerr
B: 1954-04-23
D: 2018-09-23
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Zerr, Van
Regina Ostmeyer
B: 1921-10-18
D: 2018-09-18
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Ostmeyer, Regina
Reata Pinkerton Ward
B: 2000-09-21
D: 2018-09-17
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Pinkerton Ward, Reata
Darrell Harvey
B: 1937-11-21
D: 2018-09-15
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Harvey, Darrell
Dr. Kristina Booker, DVM
B: 1976-02-05
D: 2018-09-13
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Booker, DVM, Dr. Kristina

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190 S. Franklin Ave.
P.O. Box 391
Colby, KS 67701
Phone: (785) 462-2331
Fax: (785) 462-6242

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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:
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:
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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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
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Jewelry:
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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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