Obituaries

Gilbert Hollinger
B: 1949-05-31
D: 2018-09-17
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Hollinger, Gilbert
William Locascio
B: 1939-11-07
D: 2018-09-15
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Locascio, William
Cecilia Point
B: 1938-07-20
D: 2018-09-09
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Point, Cecilia
Michael Moulton
B: 1995-05-16
D: 2018-09-07
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Moulton, Michael
Eileen Newman
B: 1929-03-31
D: 2018-09-05
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Newman, Eileen
Patricia Taber
B: 1958-08-26
D: 2018-09-03
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Taber, Patricia
David Hayes
B: 1957-01-16
D: 2018-09-02
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Hayes, David
William Cameron
B: 1956-03-12
D: 2018-08-31
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Cameron, William
John Stacey
B: 1952-12-29
D: 2018-08-30
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Stacey, John
Louis Jacobs
B: 1932-08-19
D: 2018-08-27
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Jacobs, Louis
Rose Clopman
B: 1919-02-15
D: 2018-08-23
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Clopman, Rose
Patricia Lanphear
B: 1936-06-14
D: 2018-08-18
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Lanphear, Patricia
Mike "Kim Boy" Edwards
B: 1958-08-17
D: 2018-08-16
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Edwards, Mike "Kim Boy"
Martha Gardner
B: 1954-02-20
D: 2018-08-15
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Gardner, Martha
Craig Cole
B: 1956-04-05
D: 2018-08-15
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Cole, Craig
Jan Jackson
B: 1952-07-12
D: 2018-08-14
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Jackson, Jan
Suzanne Jackson
B: 1927-12-25
D: 2018-08-13
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Jackson, Suzanne
Dennis Chubb
B: 1952-05-18
D: 2018-08-12
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Chubb, Dennis
Franklin Prashaw
B: 1935-05-25
D: 2018-08-10
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Prashaw, Franklin
Harry Giles
B: 1957-10-01
D: 2018-08-04
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Giles, Harry
William Seguin
B: 1963-05-31
D: 2018-08-01
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Seguin, William

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

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