Obituaries

Helena Bekelja
B: 1937-12-18
D: 2019-09-18
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Bekelja, Helena
Linda Cummings
B: 1938-09-08
D: 2019-09-14
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Cummings, Linda
Trevor Freeborn
B: 1967-12-24
D: 2019-09-14
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Freeborn, Trevor
Juliette Brower
B: 1958-02-11
D: 2019-09-14
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Brower , Juliette
Michael Maybrey
B: 1961-02-21
D: 2019-09-13
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Maybrey, Michael
Jaime Gomez
B: 1945-02-20
D: 2019-09-11
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Gomez, Jaime
Frances "Deedy" Welch
B: 1940-01-18
D: 2019-09-09
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Welch, Frances "Deedy"
Aurele Le Blanc
B: 1938-03-27
D: 2019-09-06
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Le Blanc, Aurele
Ava Silveira
B: 2018-12-08
D: 2019-09-05
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Silveira, Ava
Hatt Shirley
B: 1941-12-10
D: 2019-09-03
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Shirley, Hatt
Anita Maraszkiewicz
B: 1956-02-10
D: 2019-09-02
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Maraszkiewicz, Anita
Arthur Denton
B: 1926-09-06
D: 2019-09-01
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Denton, Arthur
Jeanette Rooney
B: 1944-02-02
D: 2019-09-01
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Rooney, Jeanette
Barend "Ben" Niewland
B: 1917-11-27
D: 2019-08-31
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Niewland, Barend "Ben"
Mary-Ann Horaczek
B: 1940-01-23
D: 2019-08-31
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Horaczek, Mary-Ann
Francesco Graziano
B: 1930-11-22
D: 2019-08-27
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Graziano, Francesco
Surrinder Dewan
B: 1932-02-29
D: 2019-08-27
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Dewan, Surrinder
Ronald Hillman
B: 1955-07-19
D: 2019-08-27
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Hillman, Ronald
Mary Wood
B: 1952-12-05
D: 2019-08-25
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Wood, Mary
Jerri Hasey
B: 1933-07-05
D: 2019-08-24
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Hasey, Jerri
Mary Ellen Louttit
B: 1927-11-06
D: 2019-08-23
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Louttit , Mary Ellen

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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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