Obituaries

Rose Rella
D: 2019-01-18
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Rella, Rose
Virginia Wiese
D: 2019-01-16
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Wiese, Virginia
Heather Lake
D: 2019-01-16
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Lake, Heather
Edwin Walsh
D: 2019-01-14
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Walsh, Edwin
Marjorie King
D: 2019-01-13
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King, Marjorie
Claire Flotard
D: 2019-01-13
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Flotard, Claire
Nadia Joseph
D: 2019-01-12
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Joseph, Nadia
James Reddan
D: 2019-01-11
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Reddan, James
Diana Dalton
D: 2019-01-08
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Dalton, Diana
Lisa Waglione Tchou
D: 2019-01-05
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Tchou, Lisa Waglione
Theodore Papahatazits
D: 2019-01-02
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Papahatazits, Theodore
Helen L. Covington
D: 2018-12-31
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Covington, Helen L.
Agnes Kohlmeyer
D: 2018-12-30
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Kohlmeyer, Agnes
Donald A. Leigh
D: 2018-12-28
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Leigh, Donald A.
Remise Jean-Claude
D: 2018-12-14
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Jean-Claude, Remise
Gerard Megna Sr.
D: 2018-12-14
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Megna Sr., Gerard
Luisa Pira
D: 2018-12-14
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Pira, Luisa
Anthony M. Romano
D: 2018-12-14
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Romano, Anthony M.
James McGrorty
D: 2018-12-10
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McGrorty, James
Daniel Viera
D: 2018-12-09
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Viera, Daniel
Mary Ann Jeffers
D: 2018-12-08
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Jeffers, Mary Ann

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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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