Obituaries

Patricia Perez
B: 1964-07-07
D: 2020-01-16
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Perez, Patricia
Steven Feit
B: 1956-03-27
D: 2020-01-05
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Feit, Steven
Anthony Bogin
B: 1964-04-25
D: 2019-12-30
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Bogin, Anthony
Rosa Colon-Aponte
B: 1929-11-14
D: 2019-12-27
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Colon-Aponte, Rosa
Nancy Taggart
B: 1954-09-21
D: 2019-12-23
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Taggart, Nancy
Mary Patton
D: 2019-12-23
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Patton, Mary
Jeffrey Hansen
B: 1968-09-03
D: 2019-12-21
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Hansen, Jeffrey
John Belair
B: 1931-07-21
D: 2019-12-20
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Belair, John
Martha Shea
D: 2019-12-16
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Shea, Martha
Lee Bozeman
B: 1948-09-17
D: 2019-12-10
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Bozeman, Lee
Doris Loper
B: 1928-08-01
D: 2019-12-02
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Loper, Doris
Edward Kenavan
B: 1939-06-04
D: 2019-11-14
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Kenavan, Edward
Eunice Mock
B: 1923-08-07
D: 2019-11-08
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Mock, Eunice
Willard Burney
D: 2019-11-08
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Burney, Willard
Ashley Mastro
D: 2019-11-03
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Mastro, Ashley
Patricia Hoosack
B: 1933-03-23
D: 2019-11-02
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Hoosack, Patricia
Frances Walker
B: 1935-06-02
D: 2019-10-31
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Walker, Frances
Stephen Dow
D: 2019-10-30
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Dow, Stephen
William Langley
B: 1939-08-21
D: 2019-10-30
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Langley, William
Esther Tarbell
B: 1921-09-12
D: 2019-10-24
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Tarbell, Esther
Karen English
B: 1938-03-13
D: 2019-10-22
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English, Karen

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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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