Obituaries

Darryl Gaines
B: 1965-01-08
D: 2024-03-03
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Gaines, Darryl
Thomas Burke
D: 2024-02-29
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Burke, Thomas
Carlton Hahn
B: 1941-03-16
D: 2024-02-24
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Hahn, Carlton
Dorothy Fryman
B: 1927-02-10
D: 2024-02-23
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Fryman, Dorothy
Dorothy Fryman
B: 1927-02-10
D: 2024-02-23
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Fryman, Dorothy
Janice Maupin
B: 1956-10-17
D: 2024-02-22
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Maupin, Janice
Richard Brown
B: 1955-07-17
D: 2024-02-20
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Brown, Richard
William Queen
B: 1942-08-06
D: 2024-02-15
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Queen, William
Paul Cezair
B: 1943-07-23
D: 2024-02-09
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Cezair, Paul
Truman Driggers
B: 1944-09-07
D: 2024-02-08
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Driggers, Truman
Vincent Lucchesi
B: 1945-05-08
D: 2024-02-08
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Lucchesi, Vincent
John Powell
B: 1968-01-01
D: 2024-02-03
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Powell, John
Howard Smith
D: 2024-01-28
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Smith, Howard
Diane Dunn
B: 1943-09-19
D: 2024-01-28
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Dunn, Diane
Biagio Emanuelo
B: 1936-01-16
D: 2024-01-21
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Emanuelo, Biagio
Timothy O'Keeffe
B: 1937-02-16
D: 2024-01-19
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O'Keeffe, Timothy
Timothy O'Keeffe
B: 1937-02-16
D: 2024-01-19
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O'Keeffe, Timothy
John Brown
B: 1935-06-04
D: 2024-01-16
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Brown, John
Mark Bittner
B: 1975-07-04
D: 2024-01-16
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Bittner, Mark
Barbara Knapp
B: 1949-07-07
D: 2024-01-15
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Knapp, Barbara
Barbara Knapp
D: 2024-01-15
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Knapp, Barbara

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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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