Obituaries

Susan Bentley
B: 1932-06-01
D: 2018-06-13
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Bentley, Susan
Joanne Long
B: 1930-05-07
D: 2018-06-08
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Long, Joanne
Linda Shaffer
B: 1950-12-30
D: 2018-06-06
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Shaffer, Linda
Nora Elrod
B: 1928-08-28
D: 2018-06-01
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Elrod, Nora
Delores Cole
B: 1940-12-06
D: 2018-06-01
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Cole, Delores
Helen Kachmar
B: 1922-05-01
D: 2018-05-30
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Kachmar, Helen
Ruth Greenwood
B: 1931-02-12
D: 2018-05-29
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Greenwood, Ruth
Greggory Hunter
B: 1960-01-27
D: 2018-05-22
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Hunter, Greggory
Robert Banis
B: 1948-01-02
D: 2018-05-17
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Banis, Robert
Steve Phillips
B: 1918-08-07
D: 2018-05-10
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Phillips, Steve
Linda Smith
B: 1948-05-21
D: 2018-05-09
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Smith, Linda
Patricia Lorentzson
B: 1946-05-05
D: 2018-05-09
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Lorentzson, Patricia
Ethan Blais
B: 1999-05-19
D: 2018-05-08
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Blais, Ethan
George Lewis
B: 1935-09-09
D: 2018-05-06
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Lewis, George
Devin Ciehanoski
B: 1996-08-22
D: 2018-05-05
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Ciehanoski, Devin
Devin Ciehanoski
B: 1996-08-22
D: 2018-05-05
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Ciehanoski, Devin
John Scott
B: 1931-06-16
D: 2018-05-04
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Scott, John
Thomas Massa
B: 1944-08-05
D: 2018-05-01
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Massa, Thomas
Carol Alexon
B: 1944-02-15
D: 2018-04-30
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Alexon, Carol
Michael Doepke
B: 1964-07-23
D: 2018-04-22
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Doepke, Michael
Michael Doepke
B: 1964-07-23
D: 2018-04-22
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Doepke, Michael

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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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