Obituaries

Rosemarie Pavano
B: 1942-11-14
D: 2019-05-16
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Pavano, Rosemarie
Robert Koss
B: 1991-12-03
D: 2019-05-14
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Koss, Robert
Janie Langford
B: 1938-06-14
D: 2019-05-08
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Langford, Janie
Janet Allen
B: 1930-10-15
D: 2019-05-06
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Allen, Janet
Kimberly Castro
B: 1987-07-10
D: 2019-04-29
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Castro, Kimberly
Joan Hicks
B: 1936-04-09
D: 2019-04-28
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Hicks, Joan
Clifford Gronosky
B: 1929-10-21
D: 2019-04-28
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Gronosky, Clifford
William Ramey
B: 1925-09-23
D: 2019-04-24
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Ramey, William
Carl Strouble
B: 1937-09-29
D: 2019-04-06
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Strouble, Carl
Earline Garner
B: 1951-01-02
D: 2019-04-05
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Garner, Earline
Catherine Carner
B: 1931-07-02
D: 2019-04-05
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Carner, Catherine
Brandon Davis
B: 1984-10-17
D: 2019-04-01
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Davis, Brandon
Ruthann Nearons
B: 1943-08-10
D: 2019-03-26
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Nearons, Ruthann
Liam Green
B: 2018-03-20
D: 2019-03-09
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Green, Liam
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

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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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