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Cemetery or Cremated
If Other is selected add name of Cemetery in Additional Information.
Cremated Other Alexander Cemetery Arthur-Melugin Cemetery Atlas Cemetery Avilla Baker Cemetery Blackberry Cemetery Blake Cemetery Boyd Cemetery Bradford Cemetery Bradshaw-Kahn Cemetery Bright Cemetery Bright-Daniels Cemetery Carl Junction Cemetery Carter/Laxton Cemetery Carterville Cemetery Catholic Cemetery Cave Springs Cemetery Cedar Bluff Cemetery Cedar Hill Cemetery Center Cemetery Center Point Cemetery Central City Cemetery Chynownitch Cemetery Coon Creek Cemetery County Poor Farm Cemetery Cox Cemetery Curtis Cemetery Diamond Grove Cemetery Dudenville Cemetery Dudman Cemetery Dudman Springs Duenweg Cemetery Duff Cemetery Duncan Cemetery Dunkard Cemetery Dunning Cemetery East Cemetery Emanuel Cemetery Ennis Cemetery Fair Acres Cemetery Fairview Cemetery, Alba Fairview Cemetery, Joplin Fasken Cemetery Ferguson Cemetery Fidelity Cemetery Forest Park Cemetery Freedom Baptist Church Cemetery Friends Cemetery Fullerton Cemetery Gem Cemetery Georgia City Cemetery Gibson Cemetery Gray Cemetery Green Lawn Cemetery Gresham Cemetery Grove Creek Cemetery Grundy Cemetery Hackney Cemetery Hammick Cemetery Harmony Grove Cemetery Harvey-LaRussell Cemetery Hendricks Cemetery Hog-Eye Cemetery Hopkins-Metsker Cemetery Hornback Cemetery Hornet Cemetery Horton Cemetery Howard Cemetery Hughes Family Cemetery Indian-White Cemetery Jasper Cemetery, Jasper Jasper Cemetery, Reeds Jasper County Cemetery Jasper School Cemetery Kerr Cemetery LaForce Cemetery Lehigh/Walker Cemetery Lemon Cemetery Lutheran Cemetery Margrave Cemetery Martin-Ferguson Cemetery Maxey Cemetery McKee Cemetery Medoc Cemetery Miller Cemetery Miller-Sneed Cemetery Mitchell Cemetery Moss Cemetery Moss Springs Cemetery Motley Cemetery, Newton Co. Motley-Willoughby Cemetery Mound Cemetery Mount Carmel Mount Hope Cemetery New Hope Cemetery New Salem Cemetery Nichols Cemetery Oak Hill Cemetery Old Arthur Cemetery Old Baptist Cemetery Old Carthage Cemetery Old Ritchie Cemetery Old Stone Cemetery Oronogo Cemetery Osborne Cemetery Ozark Memorial Park Cemetery Palmer Cemetery Paradise Cemetery Park Cemetery Parkway Cemetery Peace Cemetery Peace Church Cemetery Perry Cemetery Pine Cemetery Pioneer Cemetery Pleasant Grove Cemetery Pleasant Hill Cemetery Pleasant View Cemetery Poor Farm Cemetery Prigmore Cemetery Purcell Cemetery Ralston Cemetery Reeds Cemetery Rice Cemetery Rickman Cemetery Ruddick Cemetery Salem Cemetery Sarcoxie Cemetery Sarcoxie Lutheran Cemetery Secrest Cemetery Sherwood Cemetery Shewmake Cemetery Short Creek Cemetery Sidenstricker Cemetery Somerset Cemetery Stafford Cemetery Stemmons Cemetery Stepp-Wilmouth Cemetery Sterling Cemetery Stone Cemetery Stone Wall Cemetery Stony Point Cemetery Taber-Yale Cemetery Taylor Cemetery Thompson Cemetery Trinity Lutheran Cemetery Twin Grove Cemetery Union Cemetery Waco Cemetery Walker Cemetery Walnut Grove Cemetery Waters Cemetery Weaver Cemetery Webb City Cemetery Wheat Cemetery Wheeler Cemetery Whitaker Cemetery Williams Cemetery Witten Family Cemetery Unknown

Name of Deceased:
If male leave the maiden name blank
If female with other married names, please enter them in the space provided at the end of this form.

First (Given)

Surname

Maiden

Date of Birth Type "unk" in year if unknown.
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year

Date of Death Type "unk" in year if unknown.
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year

Date of Burial Type "unk" in year if unknown.
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year

Source of Information

(eg: Obituary, headstone, etc.)

Please enter any additional information here:


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