Obituaries

Joseph Townsend
B: 1931-07-24
D: 2020-03-15
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Townsend, Joseph
Margaret Thero
B: 1937-05-20
D: 2020-03-12
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Thero, Margaret
Eileen Kokulak
B: 1935-08-06
D: 2020-03-11
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Kokulak, Eileen
Rebecca Hohman
B: 1942-04-03
D: 2020-03-11
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Hohman, Rebecca
Anne Duffy
B: 1930-02-12
D: 2020-03-09
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Duffy, Anne
Quentin Anderson
B: 1926-11-07
D: 2020-03-04
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Anderson, Quentin
Vikki Botulinski
B: 1956-02-08
D: 2020-02-27
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Botulinski, Vikki
Julia Taglienti
B: 1914-03-10
D: 2020-02-22
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Taglienti, Julia
Joan Burt
B: 1993-04-15
D: 2020-02-19
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Burt, Joan
David Sanford
B: 1940-06-15
D: 2020-02-17
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Sanford, David
Donald Bowe
B: 1934-07-13
D: 2020-02-09
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Bowe, Donald
Virginia Waldrop
D: 2020-02-04
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Waldrop, Virginia
Vivian Augat
B: 1930-05-19
D: 2020-02-02
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Augat, Vivian
Sybil Meheux
B: 1933-06-16
D: 2020-01-31
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Meheux, Sybil
Carolyn Blanford
B: 1960-03-02
D: 2020-01-27
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Blanford, Carolyn
Madelyn Robinson
B: 1939-10-02
D: 2020-01-26
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Robinson, Madelyn
Esther Piper
B: 1940-11-24
D: 2020-01-24
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Piper, Esther
Marc Nichols
B: 1969-09-09
D: 2020-01-14
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Nichols, Marc
William Huguley
B: 1959-02-02
D: 2020-01-06
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Huguley, William
Leda Castillo
B: 1928-12-24
D: 2020-01-04
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Castillo, Leda
Dana Johnson
B: 1969-09-30
D: 2019-12-22
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Johnson, Dana

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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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