Obituaries

Lucy Censullo
D: 2018-07-19
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Censullo, Lucy
Helen Megna
D: 2018-07-17
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Megna, Helen
Susan Ann Scarpati
D: 2018-07-08
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Scarpati, Susan Ann
Devon Clive Stevens
D: 2018-07-05
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Clive Stevens, Devon
Esther Gee
D: 2018-07-02
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Gee, Esther
Siliana Marcelin
D: 2018-07-02
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Marcelin, Siliana
Daniel Latham
D: 2018-06-29
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Latham, Daniel
Eric McLoughlin
D: 2018-06-26
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McLoughlin, Eric
Valerie Pierson
D: 2018-06-26
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Pierson, Valerie
Maxime Bordes
D: 2018-06-24
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Bordes, Maxime
Awilda Cortes
D: 2018-06-22
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Cortes, Awilda
Josephine Aversano
D: 2018-06-21
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Aversano, Josephine
Mary V. Fischer
D: 2018-06-17
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Fischer, Mary V.
Michael T. Farley
D: 2018-06-15
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Farley, Michael T.
Marie M. Lafleur
D: 2018-06-15
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Lafleur, Marie M.
Robert Harsen
D: 2018-06-15
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Harsen, Robert
Marc Anthony Rowe
D: 2018-06-13
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Rowe, Marc Anthony
Michael Baldwin
D: 2018-06-12
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Baldwin, Michael
John A. C. Dash
D: 2018-06-12
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Dash, John A. C.
Lewis M. Reed
D: 2018-06-10
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Reed, Lewis M.
Constance Mylott
D: 2018-06-10
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Mylott, Constance

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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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