Obituaries

Earl Rutherford
B: 1944-09-06
D: 2017-05-04
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Rutherford, Earl
John Chaney
B: 1949-11-16
D: 2017-04-30
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Chaney, John
Clifford Scott
B: 1920-07-06
D: 2017-04-27
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Scott, Clifford
Anna Belle Corson
B: 1921-06-20
D: 2017-04-15
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Corson, Anna Belle
Ronald Stratton
B: 1941-11-20
D: 2017-04-07
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Stratton, Ronald
Georgia Glazebrook
B: 1925-02-12
D: 2017-03-26
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Glazebrook, Georgia
Audrey Fadden
B: 1929-12-01
D: 2017-03-25
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Fadden, Audrey
Arthur Caton
B: 1924-06-22
D: 2017-03-22
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Caton, Arthur
Glenn Perkins
B: 1944-12-15
D: 2017-03-17
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Perkins, Glenn
Linda Ross
B: 1946-01-21
D: 2017-03-06
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Ross, Linda
Ada Chaney
B: 1957-11-13
D: 2017-02-28
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Chaney, Ada
Mildred Duncan
B: 1931-11-08
D: 2017-02-19
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Duncan, Mildred
Helen Wilson
B: 1944-07-09
D: 2017-02-19
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Wilson, Helen
Robert White
B: 1930-05-18
D: 2017-02-18
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White, Robert
Ila Adair
B: 1929-09-22
D: 2017-02-17
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Adair, Ila
Mary Craig
B: 1941-03-23
D: 2017-02-14
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Craig, Mary
Myrtle Caton
B: 1929-05-18
D: 2017-02-01
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Caton, Myrtle
Charles Billingsley
B: 1928-09-23
D: 2017-01-31
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Billingsley, Charles
Anna Bellamy
B: 1921-10-24
D: 2017-01-09
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Bellamy , Anna
Wanda Flippin
B: 1938-04-20
D: 2017-01-08
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Flippin, Wanda
Kenneth Hammond
B: 1936-09-26
D: 2016-12-31
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Hammond, Kenneth

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701 South Osage
Sedalia, MO 65301
Phone: (660) 826-2622
Fax: (660) 826-2430

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Ewing-Schutte-Semler Funeral Home, please notify us first by phone at (660) 826-2622.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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