Obituaries

Theodore Gontczaruk
B: 1920-04-02
D: 2017-06-23
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Gontczaruk, Theodore
Joan Carron
B: 1933-10-21
D: 2017-06-22
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Carron, Joan
Ellen Janssen
B: 1935-12-22
D: 2017-06-21
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Janssen, Ellen
Margaret Brennan
B: 1953-07-28
D: 2017-06-18
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Brennan, Margaret
Richard Nicholas
B: 1933-04-22
D: 2017-06-16
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Nicholas, Richard
Ralph Jackson
B: 1953-05-05
D: 2017-06-15
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Jackson, Ralph
Joseph Hosier
B: 1982-12-13
D: 2017-06-13
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Hosier, Joseph
William Custer
B: 1931-00-00
D: 2017-06-12
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Custer, William
Copeland Patrick
B: 1943-04-07
D: 2017-06-12
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Patrick, Copeland
Joseph Galli
B: 1927-07-27
D: 2017-06-10
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Galli, Joseph
Christine Klink
B: 1942-08-13
D: 2017-06-09
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Klink, Christine
L. Helen Sicotte
B: 1932-08-20
D: 2017-06-09
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Sicotte, L. Helen
Annie Underhill
B: 1945-05-31
D: 2017-06-07
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Underhill, Annie
Robert Fox
B: 1964-04-21
D: 2017-06-06
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Fox, Robert
John Norton
B: 1964-05-09
D: 2017-06-05
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Norton, John
David Hall
B: 1950-09-19
D: 2017-06-04
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Hall, David
Jack Groat
B: 1930-10-15
D: 2017-06-01
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Groat, Jack
John Bedard
D: 2017-06-01
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Bedard, John
Mary Curry
B: 1929-06-05
D: 2017-05-31
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Curry, Mary
Roberta Crennan
B: 1962-05-23
D: 2017-05-30
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Crennan, Roberta
Peter Coviello
B: 1988-04-12
D: 2017-05-30
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Coviello, Peter

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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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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

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

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