Obituaries

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
Geraldine Kizer
B: 1940-09-01
D: 2017-04-07
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Kizer, Geraldine
Marian Rodgers
D: 2017-04-05
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Rodgers, Marian
Robert Bernard
B: 1958-01-19
D: 2017-04-05
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Bernard, Robert
Kevin Giblin
B: 1950-11-08
D: 2017-04-03
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Giblin, Kevin
Nancy Li
B: 1915-06-24
D: 2017-03-28
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Li, Nancy
Penelope Tarplin
B: 1925-03-11
D: 2017-03-28
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Tarplin, Penelope
Helen Congdon
B: 1920-12-31
D: 2017-03-22
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Congdon, Helen
Carl Kasierski
B: 1935-04-27
D: 2017-03-19
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Kasierski, Carl
William Phelan
B: 1933-02-07
D: 2017-03-16
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Phelan, William
William Leland
B: 1929-07-10
D: 2017-03-14
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Leland, William
Marynoel Durkin
B: 1929-12-25
D: 2017-03-13
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Durkin, Marynoel
Cheryl Chambers
B: 1953-11-25
D: 2017-03-11
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Chambers, Cheryl
Beatrice Stirk
D: 2017-02-22
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Stirk, Beatrice
Dolores Weaver
D: 2017-02-22
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Weaver, Dolores
Sanford Russell
B: 1931-01-13
D: 2017-02-21
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Russell, Sanford

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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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