Obituaries

James Slattery
B: 1927-04-29
D: 2019-02-28
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Slattery, James
Charles Stites
B: 1941-06-09
D: 2019-02-26
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Stites, Charles
Mary Barnhart
B: 1933-12-14
D: 2019-02-13
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Barnhart, Mary
Darren Whaley
B: 1962-04-28
D: 2019-02-07
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Whaley, Darren
Lucyana Pagan
B: 1986-04-19
D: 2019-02-07
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Pagan, Lucyana
Norman Pinette
B: 1921-08-23
D: 2019-01-27
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Pinette, Norman
Peter Niles
B: 1937-11-12
D: 2019-01-24
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Niles, Peter
Alan Riegner
B: 1954-03-01
D: 2019-01-19
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Riegner, Alan
Cheryl Barr
B: 1950-03-01
D: 2019-01-18
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Barr, Cheryl
Gerald Lawrence
B: 1943-01-02
D: 2019-01-17
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Lawrence, Gerald
Mary Turner
B: 1928-10-27
D: 2019-01-14
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Turner, Mary
Curtis Boley
B: 1968-09-28
D: 2019-01-10
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Boley, Curtis
Thomas Tovey
B: 1966-05-03
D: 2019-01-09
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Tovey, Thomas
James Caylor
B: 1928-12-02
D: 2019-01-07
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Caylor, James
Patricia Kersey
B: 1934-06-15
D: 2019-01-05
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Kersey, Patricia
Russell LeGrand
B: 1937-01-08
D: 2018-12-31
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LeGrand, Russell
Billy Ligon
B: 1936-08-17
D: 2018-12-29
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Ligon, Billy
Ann Jones-Kemp
B: 1918-08-22
D: 2018-12-29
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Jones-Kemp, Ann
Barbara Jennings
D: 2018-12-27
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Jennings, Barbara
John Tancredi
B: 1929-05-29
D: 2018-12-20
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Tancredi, John
Jerome Smith
B: 1934-05-04
D: 2018-12-19
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Smith, Jerome

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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

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Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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