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Obituaries

Joseph McKenzie
B: 1931-04-08
D: 2021-03-05
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McKenzie, Joseph
Theodore Gough
B: 1976-03-24
D: 2021-03-04
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Gough, Theodore
David Stewart
B: 1939-05-12
D: 2021-03-03
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Stewart, David
Ernest Dulude
B: 1939-02-28
D: 2021-03-03
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Dulude, Ernest
Edwin Carell
B: 1925-09-28
D: 2021-03-03
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Carell, Edwin
Gerald Mills
B: 1943-01-16
D: 2021-03-03
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Mills, Gerald
Felix Fontanez
B: 1928-09-05
D: 2021-03-03
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Fontanez, Felix
Robert Fulks
B: 1933-10-09
D: 2021-03-03
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Fulks, Robert
Jean Bariteau
B: 1938-11-24
D: 2021-03-01
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Bariteau, Jean
Robert Baxter
B: 1924-05-02
D: 2021-02-27
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Baxter, Robert
Gerald Blackburn
B: 1938-09-01
D: 2021-02-27
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Blackburn, Gerald
Bivian Rowell
B: 1943-06-17
D: 2021-02-26
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Rowell, Bivian
Harry Maass
B: 1927-01-04
D: 2021-02-26
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Maass, Harry
Tesla Johnson
B: 1934-09-02
D: 2021-02-25
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Johnson, Tesla
James Delgiorno
B: 1979-08-08
D: 2021-02-25
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Delgiorno, James
Lois Wightman
B: 1936-01-28
D: 2021-02-24
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Wightman, Lois
Ramon Perez
B: 1946-04-17
D: 2021-02-24
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Perez, Ramon
Claire Lavender
B: 1931-01-23
D: 2021-02-23
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Lavender, Claire
Hillary Spann
B: 1938-11-10
D: 2021-02-22
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Spann, Hillary
Kenneth Anderson
B: 1938-07-05
D: 2021-02-22
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Anderson, Kenneth
Mary Sullivan
B: 1933-06-29
D: 2021-02-21
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Sullivan, Mary

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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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