Obituaries

Lorette Eveillard Guirand
D: 2019-07-23
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Guirand, Lorette Eveillard
Robert Steven Hansen Jr
D: 2019-07-22
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Hansen Jr, Robert Steven
Marion O'Brien
D: 2019-07-18
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O'Brien, Marion
Jeanny Gaillard
D: 2019-07-17
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Gaillard, Jeanny
Clothilda Hudson
D: 2019-07-16
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Hudson, Clothilda
Lawrence Cossack Jr.
D: 2019-07-15
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Cossack Jr., Lawrence
Bro. Ronald Moore OSF
D: 2019-07-10
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Moore OSF, Bro. Ronald
Richard Thompson
D: 2019-07-10
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Thompson, Richard
Lorraine Massoni
D: 2019-07-09
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Massoni , Lorraine
Stephen Bankhead
D: 2019-07-09
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Bankhead, Stephen
Diane J. Orlando
D: 2019-07-08
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Orlando, Diane J.
Anthony Beaton
D: 2019-07-06
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Beaton , Anthony
Patrick Morgan
D: 2019-07-05
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Morgan, Patrick
Ruth Casanova
D: 2019-07-04
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Casanova, Ruth
Antonio Perez
D: 2019-07-03
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Perez, Antonio
Esme Cox
D: 2019-07-03
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Cox, Esme
Patricia Eccleston
D: 2019-07-02
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Eccleston, Patricia
Madeline M. Strazzulla
D: 2019-06-29
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Strazzulla, Madeline M.
Carolyn Sorrentino
D: 2019-06-27
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Sorrentino , Carolyn
Norman Nassy
D: 2019-06-27
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Nassy, Norman
Nancy Cincotta
D: 2019-06-26
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Cincotta, Nancy

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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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