Obituaries

Thomas Kustra
B: 1950-08-19
D: 2024-11-23
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Kustra, Thomas
Madeline Cuccia
B: 1941-05-17
D: 2024-11-23
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Cuccia, Madeline
David Witherell
B: 1948-01-12
D: 2024-11-23
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Witherell, David
Kenneth Mason
B: 1965-03-25
D: 2024-11-21
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Mason, Kenneth
Suzanne Bach
B: 1929-11-05
D: 2024-11-21
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Bach, Suzanne
Diane Buzzanco
B: 1974-01-22
D: 2024-11-18
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Buzzanco, Diane
Dr. Deborah Salmon
B: 1973-10-30
D: 2024-11-18
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Salmon, Dr. Deborah
Peter Brower
B: 1943-03-31
D: 2024-11-17
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Brower, Peter
Michael DeMarsico
B: 1961-03-11
D: 2024-11-17
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DeMarsico, Michael
Bruce Lillie
B: 1948-05-08
D: 2024-11-15
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Lillie, Bruce
Wayne Goodell
B: 1947-12-05
D: 2024-11-15
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Goodell, Wayne
Tinker White
B: 1954-09-10
D: 2024-11-12
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White, Tinker
Patricia Barbeau
B: 1941-11-07
D: 2024-11-11
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Barbeau, Patricia
Emaline Gardner
B: 1999-09-08
D: 2024-11-11
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Gardner, Emaline
Mary LeBeau
B: 1922-05-17
D: 2024-11-10
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LeBeau, Mary
Peter French
B: 1936-03-26
D: 2024-11-10
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French, Peter
Barbara Moresi
B: 1947-04-05
D: 2024-11-09
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Moresi, Barbara
John Rollman
B: 1944-04-09
D: 2024-11-09
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Rollman, John
Irene Martell
B: 1928-11-02
D: 2024-11-08
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Martell, Irene
Ethel Tripodes
B: 1944-02-20
D: 2024-11-08
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Tripodes, Ethel
Donna Gifford
B: 1947-08-15
D: 2024-11-06
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Gifford, Donna

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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:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

         

       

 

 

 

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