Obituaries

Michael Haddix
B: 1956-06-27
D: 2021-06-14
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Haddix, Michael
Oma Dell Ely
B: 1930-09-11
D: 2021-06-14
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Ely, Oma Dell
Robert Staley
B: 1947-06-22
D: 2021-06-11
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Staley, Robert
Thomas Sherman
B: 1928-08-13
D: 2021-06-09
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Sherman, Thomas
Patricia Lee
B: 1949-07-06
D: 2021-06-03
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Lee, Patricia
Deborah Rhodes
B: 1953-12-18
D: 2021-06-02
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Rhodes, Deborah
Joonathan Ruiz-Orozco
D: 2021-05-28
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Ruiz-Orozco, Joonathan
Jay Van Rhee
D: 2021-05-27
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Van Rhee, Jay
Katherine Gonzalez
B: 1931-03-14
D: 2021-05-26
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Gonzalez, Katherine
Kathy Brouillet
D: 2021-05-26
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Brouillet, Kathy
Neva McFall
D: 2021-05-19
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McFall, Neva
Gilberto De Jesus
B: 1938-07-02
D: 2021-05-14
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De Jesus, Gilberto
Arthur DeFeo, Sr.
B: 1947-05-13
D: 2021-05-13
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DeFeo, Sr., Arthur
Robert Uhrich
B: 1949-05-13
D: 2021-05-04
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Uhrich, Robert
Ernesto Diaz
B: 1931-10-28
D: 2021-05-01
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Diaz, Ernesto
Roger Nadeau
B: 1937-09-21
D: 2021-04-29
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Nadeau, Roger
Robert Caputo
B: 1945-12-27
D: 2021-04-27
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Caputo, Robert
Robert Popelar
D: 2021-04-26
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Popelar, Robert
Janice Flasschoen
B: 1950-05-19
D: 2021-04-21
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Flasschoen, Janice
Leonard Grasso
D: 2021-04-11
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Grasso, Leonard
Shirley Hester
B: 1934-10-13
D: 2021-04-08
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Hester, Shirley

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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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