Obituaries

Anna Marie Piluso-Hampton
D: 2019-11-08
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Piluso-Hampton, Anna Marie
Yvonne Daniel
D: 2019-11-08
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Daniel, Yvonne
Leticia Lilly
D: 2019-11-08
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Lilly, Leticia
John Votto
D: 2019-11-07
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Votto, John
Joseph McDonough
D: 2019-11-05
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McDonough, Joseph
Stephen Cox
D: 2019-11-05
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Cox, Stephen
Suzanne Spaight
D: 2019-11-04
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Spaight, Suzanne
Leah Feurtado
D: 2019-11-04
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Feurtado, Leah
Dorothy Johnson
D: 2019-11-03
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Johnson, Dorothy
Angela Calcaterra
D: 2019-10-28
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Calcaterra, Angela
Ivylin Verona Walsh
D: 2019-10-27
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Walsh, Ivylin Verona
Michael DeLuca
D: 2019-10-25
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DeLuca, Michael
Francesco Pira
D: 2019-10-25
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Pira, Francesco
Nemene Clement Jean Louis
D: 2019-10-23
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Clement Jean Louis, Nemene
Jean Z. Murphy
D: 2019-10-22
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Murphy, Jean Z.
Recelia Streeter
D: 2019-10-22
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Streeter, Recelia
Jacques Lalanne
D: 2019-10-21
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Lalanne, Jacques
Yvon Kerolle
D: 2019-10-21
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Kerolle, Yvon
Rose A. Germain
D: 2019-10-19
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Germain, Rose A.
Clarence E. Canada
D: 2019-10-15
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Canada, Clarence E.
Jeanne L. Birmingham
D: 2019-10-15
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Birmingham, Jeanne L.

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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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