Obituaries

Erma Chatman
B: 1939-11-24
D: 2020-03-17
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Chatman, Erma
Pamela Kavalukas
D: 2020-01-29
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Kavalukas, Pamela
Duane Fawcett
B: 1953-09-21
D: 2020-01-21
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Fawcett, Duane
Mary Lundberg
B: 1945-08-24
D: 2019-10-25
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Lundberg, Mary
Frances Bartifay
B: 1930-07-12
D: 2019-10-15
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Bartifay, Frances
Jeffrey Maher
B: 1963-09-12
D: 2019-09-25
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Maher, Jeffrey
Elizabeth Smith
B: 1939-05-15
D: 2019-09-23
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Smith, Elizabeth
Richard Humphries
B: 1925-04-04
D: 2019-08-29
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Humphries, Richard
Patricia Daugherty
B: 1940-06-12
D: 2019-04-18
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Daugherty, Patricia
Dessa Bunovich
B: 1927-03-14
D: 2019-04-12
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Bunovich, Dessa
Elsie Bahus
B: 1923-02-20
D: 2019-03-23
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Bahus, Elsie
Rosemary Dulaney
B: 1938-10-17
D: 2019-03-23
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Dulaney, Rosemary
Rosalyn Labella
B: 1929-08-18
D: 2019-03-10
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Labella, Rosalyn
Evelyn Altmeyer
B: 1926-03-03
D: 2019-02-22
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Altmeyer, Evelyn
Paul Chapman
B: 1928-12-23
D: 2019-02-06
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Chapman, Paul
Marion Goetz
D: 2019-01-21
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Goetz, Marion
Oladapo Adedipe
B: 1972-03-09
D: 2019-01-20
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Adedipe, Oladapo
Tomas Sanchez
D: 2019-01-20
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Sanchez, Tomas
Mary Leck
D: 2019-01-19
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Leck, Mary
Lecia Humphreys
D: 2019-01-09
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Humphreys, Lecia
Dolores Crossen
D: 2019-01-05
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Crossen, Dolores

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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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