Obituaries

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
John Maier
B: 1952-07-02
D: 2019-09-30
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Maier, John
Victor Matos
B: 1934-03-28
D: 2019-09-15
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Matos, Victor
Rose Frisby
B: 1931-03-06
D: 2019-09-14
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Frisby, Rose
Timothy Anderson
B: 1958-05-24
D: 2019-09-14
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Anderson, Timothy
Edna Pawlina
B: 1928-01-01
D: 2019-09-11
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Pawlina, Edna
Peter Didulo
B: 1963-11-30
D: 2019-08-26
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Didulo, Peter
AMBABEN RAMA
B: 1926-03-03
D: 2019-08-24
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RAMA, AMBABEN
Janet Reed
B: 1941-01-27
D: 2019-08-19
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Reed, Janet
Victor Collins
B: 1937-11-11
D: 2019-08-16
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Collins, Victor
Ralph Hicks
B: 1931-03-28
D: 2019-08-10
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Hicks, Ralph
Anthony Guardino
B: 1966-08-09
D: 2019-07-25
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Guardino, Anthony
William Becker
B: 1935-06-08
D: 2019-07-16
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Becker, William
Patricia Parker
B: 1937-03-25
D: 2019-07-12
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Parker, Patricia

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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:
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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:
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Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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