Obituaries

Michelle Castro
B: 1976-06-13
D: 2020-11-17
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Castro, Michelle
Patricia Marshall
B: 1955-07-08
D: 2020-11-16
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Marshall, Patricia
Lynette Daniels
D: 2020-11-16
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Daniels, Lynette
Cody Welsh
B: 1994-07-30
D: 2020-11-16
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Welsh, Cody
Robert Cote
B: 1932-06-01
D: 2020-11-13
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Cote, Robert
Paul Basile
B: 1972-01-28
D: 2020-11-07
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Basile, Paul
Lillian Little
B: 1934-06-07
D: 2020-11-03
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Little, Lillian
Charlene Picard
B: 1951-04-15
D: 2020-10-31
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Picard, Charlene
John Pitcher
B: 1973-04-18
D: 2020-10-24
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Pitcher, John
Pearl Gill
B: 1946-06-26
D: 2020-10-18
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Gill, Pearl
Elaine Swank
B: 1938-10-22
D: 2020-10-12
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Swank, Elaine
Karen Shaffer
B: 1956-04-02
D: 2020-10-06
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Shaffer, Karen
Victoria Revellini
D: 2020-09-24
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Revellini, Victoria
Eve deSales
B: 1938-10-27
D: 2020-09-21
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deSales, Eve
Van Yelvington
B: 1955-07-30
D: 2020-09-10
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Yelvington, Van
Noel Percy
B: 1942-11-05
D: 2020-09-08
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Percy, Noel
Emery Smith
B: 1930-08-13
D: 2020-09-02
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Smith, Emery
Manuel Matias
B: 1956-10-18
D: 2020-09-01
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Matias, Manuel
Michael Kelley
B: 1957-05-24
D: 2020-08-24
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Kelley, Michael
Dorothy Folker
B: 1945-08-20
D: 2020-08-20
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Folker, Dorothy
Raul Delgado
B: 1980-11-04
D: 2020-08-11
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Delgado, Raul

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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:

Miscellaneous Notes and Instructions:

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