Obituaries

David Johnston
B: 1930-01-09
D: 2018-02-17
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Johnston, David
Robert Nelson
B: 1943-10-16
D: 2018-02-13
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Nelson, Robert
John Mendes
B: 1928-09-28
D: 2018-02-06
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Mendes, John
Joseph Kempf
B: 1940-06-31
D: 2018-02-06
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Kempf, Joseph
Arthur Oliver
B: 1927-09-09
D: 2018-02-02
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Oliver, Arthur
Mary Campanaro
B: 1928-09-20
D: 2018-01-29
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Campanaro, Mary
Richard Sparks
B: 1939-07-01
D: 2018-01-27
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Sparks, Richard
Agnes McCormick
B: 1922-01-20
D: 2018-01-27
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McCormick, Agnes
Przemyslaw Kasprzak
B: 1955-10-08
D: 2018-01-27
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Kasprzak, Przemyslaw
Monica Hernandez
B: 1970-03-11
D: 2018-01-23
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Hernandez, Monica
Larry Clouse
B: 1950-12-24
D: 2018-01-19
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Clouse, Larry
Joseph Cassata
B: 1935-12-23
D: 2018-01-16
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Cassata, Joseph
Michael Mclaughlin
B: 1951-09-11
D: 2018-01-16
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Mclaughlin, Michael
Jon Ouellette
B: 1968-01-09
D: 2018-01-16
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Ouellette, Jon
Daniel Miller
B: 1963-03-28
D: 2018-01-15
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Miller, Daniel
Emma Jones
B: 1927-06-06
D: 2018-01-14
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Jones, Emma
Bruce Krier
B: 1942-05-11
D: 2018-01-13
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Krier, Bruce
Bruce Hartsfield
B: 1928-10-01
D: 2018-01-12
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Hartsfield, Bruce
Julieta Hollingsworth
B: 1940-10-04
D: 2018-01-06
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Hollingsworth, Julieta
Kennie Sirk
B: 1928-05-24
D: 2018-01-05
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Sirk, Kennie
Konstantinos Christoforakis
B: 1943-05-21
D: 2018-01-05
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Christoforakis, Konstantinos

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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 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 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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