Obituaries

Lura Zinn
B: 1935-08-21
D: 2017-09-17
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Zinn, Lura
Leota Hoover
B: 1921-12-21
D: 2017-09-16
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Hoover, Leota
Buddy Brown
B: 1942-09-02
D: 2017-09-16
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Brown, Buddy
Christine Long
B: 1970-03-31
D: 2017-09-13
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Long, Christine
Virginia Maples
B: 1947-06-29
D: 2017-09-05
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Maples, Virginia
Carol Anderson
B: 1938-11-26
D: 2017-09-04
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Anderson, Carol
Clinton Clark
B: 1938-05-13
D: 2017-08-27
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Clark, Clinton
Robert Schoenhals
B: 1960-09-28
D: 2017-08-22
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Schoenhals, Robert
H. Johnson
B: 1929-06-14
D: 2017-08-14
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Johnson, H.
Anna Smith
B: 1943-09-12
D: 2017-08-13
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Smith, Anna
Dorothy Largent
B: 1922-08-16
D: 2017-08-10
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Largent, Dorothy
Gerald Roper
B: 1933-06-05
D: 2017-08-09
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Roper, Gerald
Phyllis Brock
B: 1933-12-15
D: 2017-08-08
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Brock, Phyllis
Dorothy Nation
B: 1921-11-08
D: 2017-07-29
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Nation, Dorothy
Lois Coots
B: 1953-02-13
D: 2017-07-19
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Coots, Lois
Darin Walrod
B: 1965-12-16
D: 2017-07-19
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Walrod, Darin
Billie Roberts
B: 1930-01-16
D: 2017-07-18
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Roberts, Billie
Arnold Ayers
B: 1964-11-06
D: 2017-07-15
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Ayers, Arnold
Jack Hardin
B: 1938-12-02
D: 2017-07-06
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Hardin, Jack
Jimmie Shrum
B: 1933-04-16
D: 2017-07-05
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Shrum, Jimmie
Darwyn Weaver
B: 1936-12-07
D: 2017-07-05
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Weaver, Darwyn

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202 N. 4th
P.O. Box 304
LA CYGNE, KS 66040
Phone: 913-757-2035
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I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
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 and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
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Music Selection:
Jewelry:
Glasses:
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The cemetery property is in the name of:

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Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.

Pre-Arrangement

A gift to your family, sparing them hard decisions at an emotional time.

Order Flowers

Offer a gift of comfort and beauty to a family suffering from loss.

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202 N. 4th | LA CYGNE, KS 66040 | Fax: | Email: todd@coffelschneider.com