Obituaries

Diane Bloome
B: 1944-03-18
D: 2017-09-15
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Bloome, Diane
Roger Bristow
D: 2017-09-09
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Bristow, Roger
Stevens Miller
B: 1951-07-11
D: 2017-09-03
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Miller, Stevens
Nancy Strohbeck
B: 1935-01-18
D: 2017-08-19
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Strohbeck, Nancy
Paul Cosenza
B: 1941-08-16
D: 2017-08-15
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Cosenza, Paul
Arletta Lovelace
B: 1954-09-21
D: 2017-08-10
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Lovelace, Arletta
Judith Fones
B: 1945-02-28
D: 2017-08-06
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Fones, Judith
Stephen Arnett
B: 1951-02-13
D: 2017-07-24
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Arnett, Stephen
Carol Gueldenhaar
B: 1933-11-30
D: 2017-07-17
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Gueldenhaar, Carol
Minnie Smith
B: 1927-02-25
D: 2017-07-13
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Smith, Minnie
Leonhard Staerk
B: 1930-05-19
D: 2017-07-10
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Staerk, Leonhard
Jeffrey Morse
B: 1965-07-19
D: 2017-07-03
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Morse, Jeffrey
Joyce Cunningham
B: 1930-04-29
D: 2017-06-16
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Cunningham, Joyce
Olugbalah Ridley
B: 1983-05-02
D: 2017-04-15
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Ridley, Olugbalah
Carl Bridges
B: 1923-11-17
D: 2017-04-01
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Bridges, Carl
Gayla Greenwalt
B: 1947-01-24
D: 2017-03-30
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Greenwalt, Gayla
Marie Denby
B: 1932-10-01
D: 2017-03-23
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Denby, Marie
Michael Bloome
B: 1953-12-12
D: 2017-03-12
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Bloome, Michael
Edwin Caulk
B: 1937-11-07
D: 2017-02-27
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Caulk, Edwin
John Ricchiardi
B: 1952-12-02
D: 2017-02-19
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Ricchiardi, John
Beulah McLaughlin
B: 1920-02-17
D: 2017-01-28
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McLaughlin, Beulah

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CARLINVILLE, IL 62626
Phone: 217-854-3157
Fax: 217-854-2733

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One of the most caring, loving things you can do for your family is to leave detailed information which permits them to make the funeral service a personal tribute in keeping with the way you wanted.

Making funeral arrangements at the time of loss is extremely difficult for those left behind. When the funeral, and sometimes even payment, have been arranged in advance, most of the decisions have been made, sparing uncertainty and confusion at a time when emotional stress may make decisions difficult.

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.                                                                                                                                                                                                                                      


I. Biographical Information
Full Name:
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 You In Death            
Your 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:

         

             

       

Please select one of the options below:

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Please place my information on file

         

       

 

 

 

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