Obituaries

Dorothy MacDonald
B: 1933-08-25
D: 2017-06-23
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MacDonald, Dorothy
Sophie Dykun
B: 1922-05-06
D: 2017-06-19
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Dykun, Sophie
Mykola Nick Pinchak
B: 1921-12-21
D: 2017-06-19
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Pinchak, Mykola Nick
John Plummer
B: 1930-09-21
D: 2017-06-19
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Plummer , John
Adrian Hunter
B: 1954-05-12
D: 2017-06-14
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Hunter, Adrian
Maria Szewczyk
B: 1927-04-26
D: 2017-06-13
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Szewczyk, Maria
Valerio De Bellis
B: 1935-01-30
D: 2017-06-13
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De Bellis , Valerio
Steven Brooks
B: 1977-07-24
D: 2017-06-12
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Brooks , Steven
Anna Connolly
B: 1935-02-07
D: 2017-06-11
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Connolly, Anna
Mykhailo Buchok
B: 1927-09-24
D: 2017-06-11
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Buchok, Mykhailo
Fredrick Sless
B: 1930-08-08
D: 2017-06-10
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Sless, Fredrick
Patrick Fischer
B: 1949-11-25
D: 2017-06-09
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Fischer, Patrick
Stella Czepita
B: 1924-12-19
D: 2017-06-07
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Czepita, Stella
Robert Hewitson
B: 1938-11-16
D: 2017-06-04
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Hewitson, Robert
Leonard McConville
B: 1952-11-03
D: 2017-06-02
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McConville, Leonard
Fr. Philip Sherlock
B: 1936-01-16
D: 2017-06-02
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Sherlock, Fr. Philip
Maria Grande
B: 1927-09-12
D: 2017-05-30
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Grande, Maria
Clarence Wilson
B: 1929-11-24
D: 2017-05-25
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Wilson, Clarence
John MacKinnon
B: 1926-09-20
D: 2017-05-23
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MacKinnon, John
Edgar Rodel
B: 1919-01-26
D: 2017-05-22
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Rodel , Edgar
Annie Roach
B: 1928-02-29
D: 2017-05-22
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Roach, Annie

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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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