Obituaries

Jerome Lindabury
B: 1947-03-01
D: 2019-02-21
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Lindabury, Jerome
Rian Harford
B: 1973-12-04
D: 2019-02-11
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Harford, Rian
Robert Smith
B: 1973-11-06
D: 2019-02-10
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Smith, Robert
Muriel Edmonds
B: 1940-04-07
D: 2019-02-10
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Edmonds, Muriel
Louis Sadlowski
B: 1929-03-17
D: 2019-02-09
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Sadlowski, Louis
Mary Huska
B: 1939-04-08
D: 2019-02-08
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Huska, Mary
Fleurette Puyia
B: 1933-08-16
D: 2019-02-08
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Puyia, Fleurette
David Bunnell
B: 1945-12-22
D: 2019-02-07
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Bunnell, David
Paul Kastrinakis
B: 1972-07-25
D: 2019-02-07
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Kastrinakis, Paul
Rosie Tuck
B: 1916-05-04
D: 2019-02-07
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Tuck, Rosie
Colleen Kidney
B: 1957-06-29
D: 2019-02-06
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Kidney, Colleen
Irving Harrington
B: 1936-02-14
D: 2019-02-05
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Harrington, Irving
Leon Supranowicz
B: 1928-07-24
D: 2019-01-31
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Supranowicz, Leon
Edwin Sanders
B: 1940-04-02
D: 2019-01-26
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Sanders, Edwin
Susan Bachli
B: 1958-08-27
D: 2019-01-26
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Bachli, Susan
Jonathan May
B: 1932-06-16
D: 2019-01-24
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May, Jonathan
Jeffrey DeForest
B: 1963-10-15
D: 2019-01-24
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DeForest, Jeffrey
Stefanie Huska
B: 1925-08-12
D: 2019-01-23
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Huska, Stefanie
Russel Taylor
B: 1930-09-05
D: 2019-01-19
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Taylor, Russel
Barbara Sakowski
B: 1936-04-11
D: 2019-01-18
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Sakowski, Barbara
Bernice Loveless
B: 1920-11-11
D: 2019-01-17
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Loveless, Bernice

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Phone: 413-443-9151
Fax: 413-447-9301

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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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