Obituaries

William Main
D: 2021-01-24
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Main, William
Josephine Edwards
D: 2021-01-21
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Edwards, Josephine
Henry Johnson
D: 2021-01-21
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Johnson, Henry
Constance Main
D: 2021-01-21
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Main, Constance
Carlthorpe Serrette
D: 2021-01-19
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Serrette, Carlthorpe
Lorna Phillip
D: 2021-01-14
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Phillip, Lorna
Rachael Campbell
D: 2021-01-08
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Campbell, Rachael
John Colson Donahue
D: 2021-01-08
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Donahue, John Colson
Pat Wilson
D: 2021-01-07
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Wilson, Pat
James Kaplan
D: 2021-01-07
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Kaplan, James
Geraldine A. McManus
D: 2021-01-04
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McManus, Geraldine A.
Toni Carbonari
D: 2021-01-01
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Carbonari, Toni
Elaine Morris
D: 2020-12-26
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Morris, Elaine
Marion Selver
D: 2020-12-23
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Selver, Marion
Harold J. Horch Jr.
D: 2020-12-22
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Horch Jr., Harold J.
Geraldine Iandolo
D: 2020-12-20
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Iandolo, Geraldine
Mark Barna
D: 2020-12-17
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Barna, Mark
Alphonse Charles-Marc
D: 2020-12-15
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Charles-Marc, Alphonse
Alphonse Charles Marc
D: 2020-12-15
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Charles Marc, Alphonse
Joseph B. Shores Jr.
D: 2020-12-09
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Shores Jr., Joseph B.
Jean Edouarzin
D: 2020-12-09
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Edouarzin, Jean

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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:
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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

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

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