Obituaries

Jean Tommaselli
B: 1944-11-28
D: 2020-10-19
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Tommaselli, Jean
Robert Harris
B: 1961-03-30
D: 2020-10-10
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Harris, Robert
Thomas Carpenter
B: 1942-04-07
D: 2020-10-10
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Carpenter, Thomas
Stanley Szuber
B: 1976-06-23
D: 2020-10-03
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Szuber, Stanley
Robert Smith
B: 1948-07-04
D: 2020-10-02
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Smith, Robert
Rebecca Linsz
B: 1942-09-28
D: 2020-10-01
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Linsz, Rebecca
Katherine Gue
B: 1956-11-30
D: 2020-10-01
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Gue, Katherine
Cheryl Crawford
B: 1954-03-28
D: 2020-09-30
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Crawford, Cheryl
Charlotte DiSantis
B: 1942-04-24
D: 2020-09-30
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DiSantis, Charlotte
William West
B: 1943-04-13
D: 2020-09-30
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West, William
Kyle Wagley
D: 2020-09-21
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Wagley, Kyle
Gary Whitson
B: 1945-01-17
D: 2020-09-21
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Whitson, Gary
Harold Young
B: 1946-08-02
D: 2020-09-20
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Young, Harold
Wade Walton
B: 1971-06-07
D: 2020-09-17
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Walton, Wade
Joyce Randall
B: 1939-02-13
D: 2020-09-16
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Randall, Joyce
Kathleen Shovelin
B: 1947-03-27
D: 2020-09-13
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Shovelin, Kathleen
George Spelman
B: 1939-09-30
D: 2020-09-11
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Spelman, George
Brian Aivalotis
B: 1941-02-27
D: 2020-09-02
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Aivalotis, Brian
John Cox
B: 1955-08-13
D: 2020-09-02
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Cox, John
Donald Singletary
B: 1945-04-12
D: 2020-08-31
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Singletary, Donald
Gordon Mathewson
B: 1934-12-02
D: 2020-08-30
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Mathewson, Gordon

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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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