Obituaries

Stephen Hillard
B: 1937-12-28
D: 2020-07-08
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Hillard, Stephen
Janice Richard
B: 1962-02-27
D: 2020-07-07
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Richard, Janice
Jose Lopes
B: 1950-09-28
D: 2020-07-07
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Lopes, Jose
Catherine Herne
B: 1953-01-26
D: 2020-07-06
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Herne, Catherine
Raymond Barney
B: 1952-10-31
D: 2020-07-03
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Barney, Raymond
Edith Norman
B: 1937-03-28
D: 2020-07-02
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Norman, Edith
Veronica Smoke
B: 1958-04-10
D: 2020-07-01
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Smoke, Veronica
Louis Jacobs
B: 1959-02-05
D: 2020-07-01
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Jacobs, Louis
Marjorie King
B: 1930-04-08
D: 2020-06-29
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King, Marjorie
Franklin Howie
B: 1947-10-02
D: 2020-06-27
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Howie, Franklin
Shirley Kuno
B: 1945-03-08
D: 2020-06-25
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Kuno, Shirley
R. Dane Markham
B: 1957-03-22
D: 2020-06-23
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Markham, R. Dane
Edward Fleury
B: 1956-07-31
D: 2020-06-22
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Fleury, Edward
Abraham Francis
B: 1963-07-20
D: 2020-06-19
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Francis, Abraham
Joan Barney
B: 1934-09-06
D: 2020-06-16
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Barney, Joan
Kenneth Arquette
B: 1954-10-24
D: 2020-06-14
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Arquette, Kenneth
Thomas Kiereck
B: 1961-09-30
D: 2020-06-08
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Kiereck, Thomas
Corleen Jackson
B: 1971-09-05
D: 2020-06-07
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Jackson, Corleen
Stephen Reed
B: 1947-12-03
D: 2020-06-06
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Reed, Stephen
Keith Daggett
B: 1938-12-11
D: 2020-06-05
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Daggett, Keith
Russell Terrance
B: 1982-06-09
D: 2020-06-03
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Terrance, Russell

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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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