Obituaries

Jerry Connors
B: 1942-01-14
D: 2021-01-23
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Connors, Jerry
Theresa Shustock
B: 1934-07-01
D: 2021-01-20
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Shustock, Theresa
Harriet Barnas
B: 1918-03-09
D: 2021-01-19
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Barnas, Harriet
Christine Ross
B: 1949-07-03
D: 2021-01-18
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Ross, Christine
Mary Nilsson
B: 1931-08-12
D: 2021-01-16
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Nilsson, Mary
Mitchell Ference
D: 2021-01-16
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Ference, Mitchell
Lillian Ford
B: 1944-04-28
D: 2021-01-16
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Ford, Lillian
John Rauschenbach
B: 1949-02-03
D: 2021-01-14
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Rauschenbach , John
Judith Thompson
B: 1940-08-31
D: 2021-01-13
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Thompson, Judith
Frederick Adamson
B: 1944-08-19
D: 2021-01-12
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Adamson, Frederick
Norbert Koblect
B: 1939-03-16
D: 2021-01-11
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Koblect, Norbert
Barbara Leone
B: 1948-10-17
D: 2021-01-09
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Leone, Barbara
Gertrude Law
B: 1935-05-11
D: 2021-01-07
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Law, Gertrude
Bernadette LeBlanc
B: 1941-04-11
D: 2021-01-04
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LeBlanc, Bernadette
Gerald Yuodsnukis
B: 1938-10-12
D: 2021-01-04
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Yuodsnukis, Gerald
Robert Shellard
B: 1929-06-06
D: 2021-01-02
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Shellard, Robert
Ivan Sieckowski
B: 1987-02-15
D: 2020-12-31
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Sieckowski, Ivan
Loreen Steele
B: 1956-07-03
D: 2020-12-31
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Steele, Loreen
Terri Thompson
B: 1947-03-04
D: 2020-12-29
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Thompson, Terri
Olivia Cyr
B: 2004-11-19
D: 2020-12-28
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Cyr, Olivia
Eleanore Vicki
B: 1944-02-01
D: 2020-12-26
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Vicki, Eleanore

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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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