Obituaries

Mary Cady
B: 1921-06-03
D: 2018-10-18
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Cady, Mary
Joyce Bush
B: 1940-04-16
D: 2018-10-17
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Bush, Joyce
Wallace Mitchell
B: 2018-03-17
D: 2018-10-14
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Mitchell, Wallace
Nelson Sawatis
B: 1943-12-27
D: 2018-10-12
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Sawatis, Nelson
Wayne Lytle
B: 1949-09-25
D: 2018-10-10
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Lytle, Wayne
Kerney Cole
B: 1938-01-20
D: 2018-10-06
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Cole, Kerney
Richard Loffler
B: 1939-11-06
D: 2018-09-30
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Loffler, Richard
Melody Gravel
B: 1969-06-08
D: 2018-09-30
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Gravel, Melody
Ross Kenney
B: 1934-02-16
D: 2018-09-29
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Kenney, Ross
Robert Larche
B: 1932-04-07
D: 2018-09-28
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Larche, Robert
Marie Ryan
B: 1937-05-06
D: 2018-09-27
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Ryan, Marie
Stanley Anderson
B: 1929-06-25
D: 2018-09-27
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Anderson, Stanley
Barbara White
B: 1935-01-07
D: 2018-09-23
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White, Barbara
John Belanger
B: 1930-12-28
D: 2018-09-23
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Belanger, John
Elaine Carvill
B: 1922-11-02
D: 2018-09-21
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Carvill, Elaine
Edna Cook
B: 1951-08-17
D: 2018-09-19
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Cook, Edna
Glenn Donnelly
B: 1962-03-30
D: 2018-09-18
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Donnelly, Glenn
Kim Atkinson
B: 1964-11-22
D: 2018-09-18
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Atkinson, Kim
Gilbert Hollinger
B: 1949-05-31
D: 2018-09-17
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Hollinger, Gilbert
William Locascio
B: 1939-11-07
D: 2018-09-15
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Locascio, William
Cecilia Point
B: 1938-07-20
D: 2018-09-09
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Point, Cecilia

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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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