Obituaries

Maria Leuser
B: 1929-01-07
D: 2018-01-12
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Leuser, Maria
Margaret Summers
B: 1931-01-29
D: 2018-01-14
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Summers, Margaret
Thomas Bain
B: 1960-09-29
D: 2018-01-13
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Bain , Thomas
William Fitzpatrick
B: 1954-07-21
D: 2018-01-09
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Fitzpatrick, William
Arthur Service
B: 1930-08-18
D: 2017-12-25
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Service, Arthur
Stephania Gecan
B: 1932-08-04
D: 2018-01-09
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Gecan, Stephania
Margaret Gahagan
B: 1928-11-12
D: 2018-01-02
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Gahagan, Margaret
Timothy Warburton
B: 1951-11-03
D: 2017-12-30
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Warburton, Timothy
Joan Reardon
B: 1920-06-16
D: 2018-01-09
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Reardon, Joan
Mary Vaughan
B: 1931-12-01
D: 2018-01-05
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Vaughan, Mary
Cecile Dales
B: 1943-02-13
D: 2017-12-26
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Dales, Cecile
Kim Putnickovich
B: 1955-02-26
D: 2017-12-29
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Putnickovich, Kim
Barry Dowling
B: 1943-03-31
D: 2017-12-22
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Dowling , Barry
Mary Ryan
B: 1956-10-23
D: 2017-12-27
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Ryan, Mary
Margaret Savelli
B: 1940-08-06
D: 2017-12-22
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Savelli, Margaret
Lewine Anker
B: 1943-09-09
D: 2017-12-11
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Anker, Lewine
Lisa VanderWerf
B: 1938-02-16
D: 2017-12-10
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VanderWerf, Lisa
Laszlo Cserkuti
B: 1953-08-21
D: 2017-12-01
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Cserkuti, Laszlo
Jeremy Tumber
B: 1971-06-25
D: 2017-11-25
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Tumber, Jeremy
Francesco Mauro
B: 1967-07-16
D: 2017-11-26
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Mauro, Francesco
David Parry
B: 1950-01-17
D: 2017-11-27
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Parry, David

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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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