Obituaries

Brittany Owens
B: 1989-02-23
D: 2020-05-31
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Owens, Brittany
James Hurd
B: 1952-06-03
D: 2020-05-27
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Hurd, James
Bruno Santos
B: 1974-02-22
D: 2020-05-23
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Santos, Bruno
Carmelo Martinez
B: 1980-10-21
D: 2020-05-21
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Martinez, Carmelo
Luis Lebron
B: 1958-10-25
D: 2020-05-21
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Lebron, Luis
Geraldine Banashak
B: 1952-11-19
D: 2020-05-18
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Banashak, Geraldine
Martha McCullough
B: 1984-02-13
D: 2020-05-17
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McCullough, Martha
Norman Goodman
B: 1936-04-10
D: 2020-05-14
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Goodman, Norman
Lisa Hahn
B: 1964-06-10
D: 2020-05-13
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Hahn, Lisa
Joan Proctor
B: 1932-02-07
D: 2020-05-05
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Proctor, Joan
Paige Massenburg
B: 1975-04-14
D: 2020-05-03
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Massenburg, Paige
Jack Miller
B: 1930-10-18
D: 2020-04-28
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Miller, Jack
Edward Gingras
B: 1952-12-04
D: 2020-04-28
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Gingras, Edward
Rafael Dalipe
B: 1943-10-24
D: 2020-04-26
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Dalipe, Rafael
Helen Welch
B: 1924-04-27
D: 2020-04-22
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Welch, Helen
Vilma Ocampo
B: 1948-10-24
D: 2020-04-19
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Ocampo, Vilma
Jacob Frost
B: 1996-09-19
D: 2020-04-11
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Frost, Jacob
Barbara Hollinger
B: 1941-04-16
D: 2020-04-10
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Hollinger, Barbara
James Davis
B: 1954-10-27
D: 2020-04-07
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Davis, James
Russell Burkhalter
B: 1957-11-19
D: 2020-04-06
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Burkhalter, Russell
John Emde
B: 1949-10-05
D: 2020-04-05
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Emde, 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

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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