Obituaries

Marjorie Griffith
B: 1931-05-14
D: 2017-08-15
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Griffith, Marjorie
Catherine Azubalis
D: 2017-08-12
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Azubalis, Catherine
Carol Shea
B: 1933-01-26
D: 2017-08-10
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Shea, Carol
Ernestine Geary
B: 1950-02-13
D: 2017-08-09
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Geary, Ernestine
Wilbert Stockton
B: 1923-06-03
D: 2017-08-08
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Stockton, Wilbert
Bessie Zarvis
B: 1932-03-22
D: 2017-08-07
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Zarvis, Bessie
John Lindsay
B: 1929-05-18
D: 2017-07-27
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Lindsay, John
John Kordana
B: 1964-04-19
D: 2017-07-24
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Kordana, John
Celeste Kordana
B: 1978-07-22
D: 2017-07-24
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Kordana, Celeste
Jennie Lancia
B: 1919-12-23
D: 2017-07-22
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Lancia, Jennie
Donald Whelpley
B: 1925-01-12
D: 2017-07-20
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Whelpley, Donald
William Carty
B: 1931-02-24
D: 2017-07-19
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Carty, William
Elosie Brown
B: 1947-08-04
D: 2017-07-17
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Brown, Elosie
Ernest Shaw
B: 1946-06-07
D: 2017-07-16
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Shaw, Ernest
Sophie Murphy
B: 1920-10-16
D: 2017-07-14
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Murphy , Sophie
Catherine Eagan
B: 1926-03-16
D: 2017-07-13
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Eagan, Catherine
Daniel Walden
B: 1949-09-18
D: 2017-07-11
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Walden, Daniel
George O’Brien
B: 1931-05-19
D: 2017-07-11
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O’Brien, George
Elizabeth Underhill
B: 1929-07-27
D: 2017-07-11
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Underhill, Elizabeth
Douglas Acetta Taliaferro
B: 1983-06-15
D: 2017-07-11
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Acetta Taliaferro, Douglas
Daniel Hines
B: 1948-10-15
D: 2017-07-10
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Hines, Daniel

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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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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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