Obituaries

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
Priscilla Annicchiarico
B: 1949-05-21
D: 2019-12-20
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Annicchiarico, Priscilla
George Pustai
B: 1955-04-15
D: 2019-12-10
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Pustai, George
Mary Brownrigg
B: 1936-03-09
D: 2019-12-10
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Brownrigg, Mary
Stephen Elliott
B: 1955-01-09
D: 2019-12-03
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Elliott, Stephen
Nell Reinhard
B: 1922-12-24
D: 2019-11-27
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Reinhard, Nell
Shirley Coppula
B: 1932-10-31
D: 2019-11-22
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Coppula, Shirley
Josephine Cruke
B: 1923-02-07
D: 2019-11-21
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Cruke, Josephine
Robert Burt
B: 1934-07-24
D: 2019-11-09
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Burt, Robert
Rolland LeFebvre
B: 1941-12-07
D: 2019-11-06
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LeFebvre, Rolland
Phillip Pettitt
B: 1957-11-06
D: 2019-11-02
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Pettitt, Phillip
Maria Bugajski
B: 1949-10-26
D: 2019-10-26
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Bugajski, Maria
Duane Warner
B: 1956-03-04
D: 2019-10-24
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Warner, Duane
Manubhai Patel
B: 1939-05-25
D: 2019-10-19
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Patel, Manubhai
Angelo Bonilla
B: 1958-09-17
D: 2019-10-12
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Bonilla, Angelo
Lorell Remmington
B: 1948-09-11
D: 2019-10-10
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Remmington, Lorell
Rose Coose
B: 1933-09-19
D: 2019-10-05
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Coose, Rose
John Maier
B: 1952-07-02
D: 2019-09-30
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Maier, John

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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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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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