Obituaries

Judy Mayhorn
B: 1950-03-12
D: 2017-08-09
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Mayhorn, Judy
Rev. Charles Grubbs
B: 1938-07-05
D: 2017-08-09
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Grubbs, Rev. Charles
Marilyn Mathis
B: 1942-12-17
D: 2017-08-04
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Mathis, Marilyn
Judith "Judy" Watkins
B: 1953-10-22
D: 2017-07-28
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Watkins, Judith "Judy"
Donald "Don" Davis
B: 1945-08-17
D: 2017-07-26
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Davis, Donald "Don"
Deloris Johnson
B: 1924-05-25
D: 2017-07-18
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Johnson, Deloris
Kevin Godfrey
B: 1964-03-08
D: 2017-07-17
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Godfrey, Kevin
Harold Burris
B: 1929-09-27
D: 2017-07-16
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Burris, Harold
Roy Fields
B: 1954-02-12
D: 2017-07-14
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Fields, Roy
Edith Ziegler
B: 1923-09-21
D: 2017-07-12
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Ziegler, Edith
Virginia "Jenny" Bush
B: 1927-10-16
D: 2017-07-05
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Bush, Virginia "Jenny"
Mary "Ann" Smith
B: 1931-07-12
D: 2017-06-28
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Smith, Mary "Ann"
Charles Gottman
B: 1958-04-28
D: 2017-06-27
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Gottman, Charles
David Vowell
B: 1938-07-30
D: 2017-06-26
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Vowell, David
Alvie Porter
B: 1930-05-13
D: 2017-06-22
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Porter, Alvie
Patricia Hagel
B: 1931-06-04
D: 2017-06-15
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Hagel, Patricia
Edith Wilkins
B: 1927-12-30
D: 2017-06-12
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Wilkins, Edith
Lori Nash
B: 1979-03-16
D: 2017-06-11
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Nash, Lori
Naomi Carrico
B: 1923-05-21
D: 2017-06-06
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Carrico, Naomi
William Kessler
B: 1927-09-19
D: 2017-06-05
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Kessler, William
Walter MacDonald
B: 1928-07-21
D: 2017-06-04
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MacDonald, Walter

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308 East Walnut Street
Washington, IN 47501
Phone: (812) 254-5650
Fax: (812) 254-5652

Immediate Need

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

To report a death to Gill Funeral Service, please notify us first by phone at (812) 254-5650.

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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