Obituaries

Robert Upton
B: 1960-03-15
D: 2021-04-17
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Upton, Robert
Lillian O'Connor
B: 1941-01-01
D: 2021-04-14
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O'Connor, Lillian
Gary Olmstead
B: 1956-02-07
D: 2021-04-11
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Olmstead, Gary
Douglas Rajala
B: 1964-06-02
D: 2021-04-11
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Rajala, Douglas
Dorothy Morganson
B: 1926-01-24
D: 2021-04-10
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Morganson, Dorothy
John Rider
B: 1938-11-08
D: 2021-04-07
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Rider, John
Leona Bard
B: 1927-09-22
D: 2021-04-07
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Bard, Leona
Thomas Valliere
D: 2021-04-06
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Valliere, Thomas
Richard Wheeler
B: 1940-10-07
D: 2021-04-01
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Wheeler, Richard
Lawrence Balbi
B: 1926-02-04
D: 2021-03-31
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Balbi, Lawrence
Kenneth Peskurich
B: 1946-03-10
D: 2021-03-31
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Peskurich, Kenneth
Robert Pierce
B: 1934-09-11
D: 2021-03-29
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Pierce, Robert
Louis Sorrell
B: 1953-01-26
D: 2021-03-29
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Sorrell, Louis
Paul Loubier
B: 1953-09-06
D: 2021-03-28
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Loubier, Paul
Diane Dreher
B: 1934-02-18
D: 2021-03-28
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Dreher, Diane
Michael Gorgone
B: 1974-07-31
D: 2021-03-26
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Gorgone, Michael
Kathleen Brown
B: 1944-11-01
D: 2021-03-24
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Brown, Kathleen
Virginia Diehl
B: 1936-01-27
D: 2021-03-24
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Diehl, Virginia
Dennis Riley
B: 1955-09-24
D: 2021-03-24
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Riley, Dennis
Barbara Cook
B: 1933-09-02
D: 2021-03-23
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Cook, Barbara
Peter Olson
B: 1940-05-01
D: 2021-03-22
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Olson, Peter

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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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