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Obituaries

Barbara Harper
B: 1942-02-13
D: 2020-12-01
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Harper, Barbara
Mary Owen
B: 1939-01-20
D: 2020-12-01
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Owen, Mary
Marion Patick
B: 1921-09-30
D: 2020-12-01
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Patick, Marion
Edith Mordini
B: 1929-05-01
D: 2020-12-01
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Mordini, Edith
Barbara Maddy
B: 1937-01-10
D: 2020-11-30
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Maddy, Barbara
Robert Hunt
B: 1926-01-27
D: 2020-11-30
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Hunt, Robert
Ellsworth Bassett
B: 1935-02-07
D: 2020-11-29
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Bassett, Ellsworth
Janet Scott
B: 1947-07-14
D: 2020-11-29
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Scott, Janet
Florence Hirsch
B: 1933-12-04
D: 2020-11-28
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Hirsch, Florence
Kenneth Green
B: 1938-06-08
D: 2020-11-28
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Green, Kenneth
Patrick Burke
B: 1953-06-03
D: 2020-11-27
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Burke, Patrick
Terrence Henry
B: 1942-05-28
D: 2020-11-27
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Henry, Terrence
Mary Collins
B: 1951-11-02
D: 2020-11-26
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Collins, Mary
Dennis David
B: 1934-10-12
D: 2020-11-25
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David, Dennis
Donald Barr
B: 1931-02-25
D: 2020-11-25
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Barr, Donald
Dorothy Ruck
B: 1935-06-17
D: 2020-11-24
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Ruck, Dorothy
Charles Burns
B: 1927-02-20
D: 2020-11-24
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Burns, Charles
Dorothy White
B: 1935-04-30
D: 2020-11-24
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White, Dorothy
Marian Johnson
B: 1924-04-16
D: 2020-11-23
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Johnson, Marian
Michael Williams
B: 1951-12-03
D: 2020-11-23
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Williams, Michael
William Carey
B: 1929-10-05
D: 2020-11-22
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Carey, William

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
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Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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