Obituaries

Rita Duval
B: 1926-10-22
D: 2024-02-25
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Duval, Rita
Sharon Cswertek
B: 1964-06-26
D: 2024-02-24
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Cswertek, Sharon
Joel Pattavina
B: 1967-08-02
D: 2024-02-23
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Pattavina, Joel
William Unterstein
B: 1944-05-10
D: 2024-02-23
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Unterstein, William
Mary Belval
B: 1928-09-25
D: 2024-02-22
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Belval, Mary
Peter LaPlaca
B: 1946-12-09
D: 2024-02-17
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LaPlaca, Peter
Carolyn Badstuebner
B: 1931-09-15
D: 2024-02-15
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Badstuebner, Carolyn
Florence Brennan
B: 1927-05-03
D: 2024-02-15
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Brennan, Florence
Ellen Sias
B: 1959-11-13
D: 2024-02-14
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Sias, Ellen
Carolyn Osborn
B: 1936-01-10
D: 2024-02-09
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Osborn, Carolyn
Susana Ulloa
B: 1969-02-02
D: 2024-02-09
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Ulloa, Susana
Richard Carlson
B: 1937-04-12
D: 2024-02-06
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Carlson, Richard
Lois Wivagg
B: 1942-09-10
D: 2024-02-06
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Wivagg, Lois
Raymond Humphrey
B: 1959-04-20
D: 2024-02-06
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Humphrey , Raymond
Audrey McKinney
B: 1924-04-01
D: 2024-02-04
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McKinney, Audrey
Martin Burke
B: 1940-05-05
D: 2024-01-29
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Burke, Martin
Agnes LaFlamme
B: 1930-04-03
D: 2024-01-28
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LaFlamme, Agnes
Joseph Oliwa
B: 1941-12-10
D: 2024-01-26
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Oliwa, Joseph
Stella Fabrizi
B: 1938-05-06
D: 2024-01-25
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Fabrizi, Stella
Barry Newton
B: 1935-03-11
D: 2024-01-23
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Newton, Barry
Raymond Shackway
B: 1936-03-22
D: 2024-01-20
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Shackway, Raymond

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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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