Obituaries

Claire Gill
D: 2021-06-14
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Gill, Claire
Isaac Davis
B: 2004-03-31
D: 2021-06-14
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Davis, Isaac
Donna Small
B: 1942-09-15
D: 2021-06-09
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Small, Donna
Carol White
B: 1937-04-26
D: 2021-06-09
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White, Carol
Justine Gray
B: 1929-03-24
D: 2021-06-05
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Gray, Justine
Christine Binheimer
B: 1949-08-21
D: 2021-06-04
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Binheimer , Christine
Paul St. Louis
B: 1946-08-30
D: 2021-05-31
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St. Louis, Paul
Dario Sartori
B: 1937-01-07
D: 2021-05-29
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Sartori, Dario
Charles Johnston
D: 2021-05-29
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Johnston, Charles
Elaine Chandler
B: 1949-12-24
D: 2021-05-28
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Chandler, Elaine
Alfred Zwingelstein
B: 1931-04-07
D: 2021-05-27
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Zwingelstein, Alfred
Jean Litke
B: 1929-09-14
D: 2021-05-26
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Litke, Jean
Donald Jones
B: 1958-06-25
D: 2021-05-25
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Jones, Donald
Marie Lagel
B: 1920-03-14
D: 2021-05-24
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Lagel, Marie
Homa Navab
B: 1929-12-26
D: 2021-05-19
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Navab, Homa
Judith Dimmock
B: 1939-11-24
D: 2021-05-18
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Dimmock, Judith
Sharon Caron
B: 1967-08-29
D: 2021-05-18
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Caron, Sharon
Galen Boone
B: 1947-11-26
D: 2021-05-16
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Boone, Galen
Joseph Fecteau
B: 1931-08-29
D: 2021-05-15
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Fecteau, Joseph
William Greene
B: 1954-01-13
D: 2021-05-15
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Greene, William
Eugene Hunt
B: 1941-02-07
D: 2021-05-14
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Hunt, Eugene

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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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