Obituaries

Jeffrey White
B: 1965-04-04
D: 2018-10-10
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White, Jeffrey
Edna Warren
B: 1937-03-28
D: 2018-10-02
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Warren, Edna
Mark Hubley
B: 1950-08-29
D: 2018-09-29
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Hubley, Mark
Jean Guy Moreau
B: 1933-04-04
D: 2018-09-27
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Moreau, Jean Guy
David McLain
B: 1945-09-19
D: 2018-09-27
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McLain, David
Ryan Wood
B: 1999-01-07
D: 2018-09-22
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Wood, Ryan
Frank Masdea
B: 1961-04-14
D: 2018-09-21
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Masdea, Frank
Mark Cross
B: 1926-04-25
D: 2018-09-20
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Cross, Mark
William Lennon
B: 1960-10-25
D: 2018-09-19
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Lennon, William
George Henderson
B: 1923-09-09
D: 2018-09-15
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Henderson, George
Doris Post
B: 1927-08-26
D: 2018-09-14
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Post, Doris
Pierre Joseph
B: 1938-08-01
D: 2018-09-14
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Joseph, Pierre
Helen Monitto
B: 1934-09-01
D: 2018-09-13
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Monitto, Helen
Barbara Wuinee
B: 1938-06-19
D: 2018-09-11
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Wuinee, Barbara
Rita Tart
B: 1935-06-19
D: 2018-09-10
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Tart, Rita
Amy DuPont
B: 1974-07-03
D: 2018-09-10
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DuPont, Amy
Anna Kozubal
B: 1924-03-21
D: 2018-09-08
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Kozubal, Anna
Timothy Wigglesworth
B: 1952-06-29
D: 2018-09-07
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Wigglesworth, Timothy
William Larcombe
B: 1935-06-26
D: 2018-09-05
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Larcombe, William
Dorothy Schipon
D: 2018-09-03
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Schipon, Dorothy
Fuad Nassif
B: 1931-01-21
D: 2018-09-03
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Nassif, Fuad

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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 State of Birth:
Mother's Name:
Mother's State of Birth:
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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