Obituaries

Fred Delgreco
B: 1932-02-02
D: 2017-06-28
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Delgreco, Fred
Eileen Davis
B: 1924-08-25
D: 2017-06-22
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Davis, Eileen
Linda Lovely-Maguire
B: 1953-06-10
D: 2017-06-08
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Lovely-Maguire, Linda
David McCurdy
B: 1944-01-21
D: 2017-06-05
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McCurdy, David
Emeline Lynde
B: 1930-09-09
D: 2017-05-30
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Lynde, Emeline
Margaret Morrill
B: 1921-06-06
D: 2017-05-23
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Morrill, Margaret
Harvey Chapdelaine
D: 2017-05-23
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Chapdelaine, Harvey
Douglas Humphrey
B: 1956-05-21
D: 2017-05-22
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Humphrey, Douglas
Judith McGovern
B: 1942-06-23
D: 2017-05-16
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McGovern, Judith
Gerda Youkstetter
D: 2017-05-16
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Youkstetter, Gerda
Mary Brigham
B: 1927-07-26
D: 2017-05-06
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Brigham, Mary
Jeffrey Brandt
B: 1953-10-27
D: 2017-05-05
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Brandt, Jeffrey
Irene Blanchard
B: 1925-07-20
D: 2017-04-28
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Blanchard, Irene
John Flynn
B: 1959-10-05
D: 2017-04-28
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Flynn, John
Charles Harper
D: 2017-04-27
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Harper, Charles
Daniel McDonald
D: 2017-04-22
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McDonald, Daniel
Anna Rothenberger
D: 2017-04-20
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Rothenberger, Anna
Frederick Diloreto
B: 1923-01-10
D: 2017-04-18
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Diloreto, Frederick
Joseph Tonkonogy
B: 1925-10-22
D: 2017-04-15
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Tonkonogy, Joseph
Francis Ryan
B: 1950-10-01
D: 2017-04-12
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Ryan, Francis
Carlos Nieves
B: 1965-10-06
D: 2017-04-07
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Nieves, Carlos

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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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