Obituaries

Joseph Miller
B: 1931-08-19
D: 2017-07-27
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Miller, Joseph
Glenn Buirley
B: 1922-08-14
D: 2017-07-24
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Buirley, Glenn
Joyce Wall
B: 1934-08-04
D: 2017-07-23
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Wall, Joyce
Johnnie Burgan
B: 1932-12-20
D: 2017-07-14
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Burgan, Johnnie
Paul Manning
B: 1930-10-06
D: 2017-07-13
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Manning, Paul
Glenna Wall
B: 1952-12-01
D: 2017-07-12
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Wall, Glenna
Madonna Bishop
B: 1926-03-19
D: 2017-07-09
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Bishop, Madonna
Charlene Bramlette
B: 1950-08-14
D: 2017-05-28
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Bramlette, Charlene
Edward Galloway
B: 1932-09-20
D: 2017-05-22
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Galloway, Edward
Donald Patterson
B: 1943-12-19
D: 2017-05-18
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Patterson, Donald
Debbie Samuels
B: 1961-04-23
D: 2017-05-07
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Samuels, Debbie
Elsie Collins
B: 1928-01-03
D: 2017-05-06
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Collins, Elsie
Gerald Gregory
B: 1943-11-08
D: 2017-05-01
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Gregory, Gerald
Billy Johnson
B: 1936-08-23
D: 2017-03-27
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Johnson, Billy
Mary Cress
B: 1931-06-06
D: 2017-03-17
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Cress, Mary
Jeanette Leaker
B: 1945-01-20
D: 2017-03-15
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Leaker, Jeanette
Robert Lucas
B: 1936-06-18
D: 2017-03-13
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Lucas, Robert
Linda Jordan
B: 1939-07-14
D: 2017-03-10
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Jordan, Linda
Vernon Vencill
B: 1943-06-26
D: 2017-03-04
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Vencill, Vernon
Donald Flory
B: 1946-08-28
D: 2017-02-17
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Flory, Donald
Jean Andrews
B: 1924-02-15
D: 2017-02-13
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Andrews, Jean

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11900 North Dixie Drive
Tipp City, OH 45371
Phone: (937) 667-5554
Fax: (937) 669-4008

Immediate Need

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

To report a death to Blessing-Zerkle Funeral Home, please notify us first by phone at (937) 667-5554.

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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