Obituaries

Robert Kincaid
B: 1971-11-05
D: 2017-05-18
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Kincaid, Robert
Jesse Barnes
B: 1936-11-16
D: 2017-05-18
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Barnes, Jesse
Paul Jennings
B: 1941-03-27
D: 2017-05-12
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Jennings, Paul
Lois Doty
B: 1926-05-16
D: 2017-05-10
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Doty, Lois
Carol "C.J." Rosenberg
B: 1937-10-31
D: 2017-05-06
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Rosenberg, Carol "C.J."
Ed Tuhey
B: 1936-05-22
D: 2017-05-06
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Tuhey, Ed
Agnes Williams
B: 1936-12-07
D: 2017-05-05
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Williams, Agnes
Betty Flanagan
B: 1943-10-12
D: 2017-05-05
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Flanagan, Betty
Thelma Lumley
B: 1927-02-16
D: 2017-04-30
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Lumley, Thelma
Billy White
B: 1938-09-04
D: 2017-04-30
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White, Billy
Audrey Gardine
B: 1930-01-19
D: 2017-04-20
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Gardine, Audrey
Lorraine Duckworth
B: 1928-12-03
D: 2017-04-18
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Duckworth, Lorraine
Jan Michael
B: 1939-03-24
D: 2017-04-18
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Michael, Jan
Roberta Postma
B: 1918-12-22
D: 2017-04-18
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Postma, Roberta
Hazel Ollson
B: 1919-11-24
D: 2017-04-11
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Ollson, Hazel
Donald "Don" Jones
B: 1929-04-24
D: 2017-04-09
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Jones, Donald "Don"
Juanita Caviness
B: 1930-02-10
D: 2017-04-09
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Caviness, Juanita
Dorothy Cain
B: 1925-08-23
D: 2017-04-07
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Cain, Dorothy
Menno Frerichs
B: 1936-01-21
D: 2017-04-06
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Frerichs, Menno
Helen Scott
B: 1920-01-12
D: 2017-04-04
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Scott, Helen
Carol Avery
B: 1940-09-23
D: 2017-04-02
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Avery, Carol

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4500 S. Lone Pine Road
Springfield, MO 65804
Phone: (417) 887-1929
Fax: (417) 887-0341

Immediate Need

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

To report a death to Klingner-Cope Family Funeral Home, please notify us first by phone at (417) 887-1929.

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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