Obituaries

Teodoro Licursi
B: 1924-11-25
D: 2018-09-12
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Licursi, Teodoro
Paul Burt
B: 1944-01-19
D: 2018-09-06
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Burt, Paul
Annie Petrus
B: 1928-08-06
D: 2018-09-09
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Petrus, Annie
Richard Bayards
B: 1930-12-07
D: 2018-09-10
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Bayards, Richard
Andrew Ivol
B: 1974-04-12
D: 2018-08-31
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Ivol, Andrew
Rachel Tough
B: 1922-05-19
D: 2018-08-29
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Tough, Rachel
Carmela Rubini
B: 1936-02-19
D: 2018-08-26
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Rubini, Carmela
Monsignor Peter Coughlin
B: 1941-10-11
D: 2018-08-25
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Coughlin, Monsignor Peter
Judas D'Souza
B: 1948-05-05
D: 2018-08-24
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D'Souza, Judas
Sister Cecilia Reitzel
B: 1926-06-21
D: 2018-08-25
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Reitzel, Sister Cecilia
Tomasso Gaspari
B: 1931-12-21
D: 2018-08-26
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Gaspari, Tomasso
Kevin Dunn
B: 1938-12-03
D: 2018-08-21
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Dunn, Kevin
Margaret-Anne Cranfield
B: 1942-07-25
D: 2018-08-17
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Cranfield, Margaret-Anne
Lajos Pocsai
B: 1929-11-10
D: 2018-08-17
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Pocsai, Lajos
Antal Gyori
B: 1923-06-30
D: 2018-08-18
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Gyori, Antal
Sean McCabe
B: 1977-07-14
D: 2018-08-16
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McCabe, Sean
Jerzy Domanski
B: 1948-04-04
D: 2018-03-20
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Domanski, Jerzy
Sheldon Hebb
B: 1992-12-21
D: 2018-08-11
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Hebb, Sheldon
Kirk Newkirk
B: 1948-03-27
D: 2018-08-06
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Newkirk, Kirk
Walter Kozelecki
B: 1931-04-15
D: 2018-08-04
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Kozelecki, Walter
Maureen Walsh
B: 1931-07-18
D: 2018-08-03
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Walsh, Maureen

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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

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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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