Obituaries

Margaret Walker
B: 1926-05-12
D: 2018-04-19
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Walker, Margaret
Richard Jones
B: 1931-08-28
D: 2018-04-16
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Jones, Richard
Jean Bolan
B: 1920-12-30
D: 2018-04-13
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Bolan, Jean
Janet Eddy
B: 1947-01-27
D: 2018-04-13
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Eddy, Janet
Kassedi Clark
B: 1993-12-16
D: 2018-04-13
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Clark, Kassedi
Lorraine Ploss
B: 1934-05-27
D: 2018-04-12
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Ploss, Lorraine
Clifford Neil
B: 1922-10-11
D: 2018-04-11
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Neil, Clifford
Theresa Dragon
B: 1926-08-27
D: 2018-04-11
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Dragon, Theresa
Alec Trova
B: 1959-07-21
D: 2018-04-11
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Trova, Alec
James Kerr
B: 1967-03-01
D: 2018-04-10
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Kerr, James
Richard Silvano
B: 1936-03-06
D: 2018-04-09
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Silvano, Richard
Carol Harris
B: 1927-03-24
D: 2018-04-09
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Harris, Carol
Norman Shorey
B: 1924-01-27
D: 2018-04-08
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Shorey, Norman
Charles Bastow
B: 1929-10-02
D: 2018-04-08
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Bastow, Charles
David Hook
B: 1941-04-05
D: 2018-04-08
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Hook, David
Katharine Stafford
B: 1916-11-10
D: 2018-04-07
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Stafford, Katharine
Grace Banister
B: 1972-12-05
D: 2018-04-06
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Banister, Grace
Filip Blechinger
B: 1935-06-01
D: 2018-04-04
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Blechinger, Filip
John Dowling
B: 1955-02-19
D: 2018-04-03
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Dowling, John
Hannah Browne
B: 1991-12-18
D: 2018-04-03
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Browne, Hannah
Leocadia Symanski
B: 1921-11-12
D: 2018-04-03
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Symanski, Leocadia

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Phone: 413-443-9151
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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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