Obituaries

Ying Kui Hu
D: 2017-11-16
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Hu, Ying Kui
Frances Rodriguez
D: 2017-11-15
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Rodriguez, Frances
Patrick Fratello
D: 2017-11-13
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Fratello, Patrick
Susan Kennedy
D: 2017-11-10
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Kennedy, Susan
Atiba Coerbell
D: 2017-11-10
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Coerbell, Atiba
Irene McCann
D: 2017-11-09
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McCann, Irene
Maurice Fontil
D: 2017-11-07
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Fontil, Maurice
Entwisley Ducoste
D: 2017-11-06
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Ducoste, Entwisley
Tracy Evans
D: 2017-11-06
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Evans, Tracy
Salvatore Tobias Benigno
D: 2017-11-06
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Benigno, Salvatore Tobias
Alfonso A. Smith
D: 2017-11-03
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Smith, Alfonso A.
Sherma Thomas
D: 2017-11-03
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Thomas, Sherma
William Wahl
D: 2017-11-02
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Wahl, William
Paul Dennigan
D: 2017-11-01
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Dennigan, Paul
Sandra Haynes
D: 2017-10-27
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Haynes, Sandra
Salvatore Cento
D: 2017-10-27
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Cento, Salvatore
Sullivan Brooks
D: 2017-10-26
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Brooks, Sullivan
Anne Brown
D: 2017-10-26
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Brown, Anne
Marie Skroly
D: 2017-10-24
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Skroly, Marie
Carmen Perez
D: 2017-10-24
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Perez, Carmen
Margareth Leconte
D: 2017-10-22
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Leconte, Margareth

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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:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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