Obituaries

Theresa Law Robert
B: 1925-09-14
D: 2019-07-17
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Law Robert, Theresa
Carmen Bua
B: 1924-11-04
D: 2019-07-15
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Bua, Carmen
Dolores Emery
B: 1932-04-16
D: 2019-07-15
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Emery, Dolores
John Holden
B: 1947-09-12
D: 2019-07-13
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Holden, John
Helen Hamlin
B: 1915-09-08
D: 2019-07-13
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Hamlin, Helen
Diane Spinrad
B: 1933-07-20
D: 2019-07-13
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Spinrad, Diane
Christopher Bishop
B: 1980-07-29
D: 2019-07-13
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Bishop, Christopher
Kathleen Malinowski
B: 1960-01-09
D: 2019-07-07
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Malinowski, Kathleen
Mary Walden
B: 1925-08-31
D: 2019-07-05
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Walden, Mary
Charles Doan
B: 1948-07-04
D: 2019-07-03
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Doan, Charles
Phyllis Sands
B: 1924-08-25
D: 2019-07-02
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Sands, Phyllis
Melvin Blieberg
B: 1930-03-02
D: 2019-07-02
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Blieberg, Melvin
Rev. Joseph Romano
B: 1936-10-18
D: 2019-07-02
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Romano, Rev. Joseph
Michael Mole
B: 1923-10-28
D: 2019-07-01
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Mole, Michael
Joan Falco
B: 1934-12-23
D: 2019-06-30
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Falco, Joan
Mildred Hunkler
B: 1928-05-29
D: 2019-06-29
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Hunkler, Mildred
Marshall Taylor
B: 1952-08-19
D: 2019-06-28
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Taylor, Marshall
Silvio Mastrangelo
B: 1932-06-30
D: 2019-06-27
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Mastrangelo, Silvio
Barbara Hayden
B: 1929-03-23
D: 2019-06-26
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Hayden, Barbara
Rosalie McGill Teichert
B: 1938-11-27
D: 2019-06-23
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McGill Teichert, Rosalie
Marie Welch
B: 1946-04-05
D: 2019-06-22
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Welch, Marie

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You may file vital statistics and preferred funeral information with us on-line by filling in the form below.                                                                                                                                                                                                                                      


I. Biographical Information
Full Name:
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 City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence            
Relatives Who Have Preceded You In Death            
Your 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:
         

Miscellaneous Notes and Instructions:

         

             

       

Please select one of the options below:

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Please contact me to schedule an appointment

Please place my information on file

         

       

 

 

 

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