Obituaries

Charlotte Martin
B: 1921-01-20
D: 2018-06-17
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Martin, Charlotte
Evelyn Stevens
B: 1921-06-06
D: 2018-06-17
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Stevens, Evelyn
Robert Bowley
B: 1948-01-22
D: 2018-06-15
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Bowley, Robert
Belinda Palmer
B: 1955-09-05
D: 2018-06-14
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Palmer, Belinda
Nora Vaun Bemis
B: 1933-04-29
D: 2018-06-13
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Bemis, Nora Vaun
Sheila Cutler
B: 1940-09-23
D: 2018-06-11
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Cutler, Sheila
Marie Beckwith
B: 1932-04-29
D: 2018-06-08
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Beckwith, Marie
Karen Young
B: 1952-03-29
D: 2018-06-08
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Young, Karen
Jane Gillahan
B: 1943-03-02
D: 2018-06-07
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Gillahan, Jane
Joseph Butera
B: 1961-11-01
D: 2018-06-07
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Butera, Joseph
Wilhelmena Crook
B: 1921-03-10
D: 2018-06-06
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Crook, Wilhelmena
Eugene A. Pomeroy Jr.
B: 1967-11-18
D: 2018-06-05
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Pomeroy Jr., Eugene A.
Evangeline "Lynn" Ross
B: 1953-10-02
D: 2018-06-05
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Ross, Evangeline "Lynn"
Pauline Lodge
B: 1931-02-15
D: 2018-06-04
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Lodge, Pauline
Marilyn Denner
B: 1956-02-03
D: 2018-06-01
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Denner, Marilyn
Irving V. Joy Jr.
B: 1934-05-02
D: 2018-06-01
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Joy Jr., Irving V.
Edward Lewis Campbell
B: 1928-09-20
D: 2018-05-31
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Campbell, Edward Lewis
Glynford Stevens
B: 1939-08-28
D: 2018-05-30
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Stevens, Glynford
Milton Dysart
B: 1934-02-04
D: 2018-05-29
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Dysart, Milton
Gloria Jean Dunroe
B: 1941-04-28
D: 2018-05-29
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Dunroe, Gloria Jean
Alan Stone
B: 1964-10-29
D: 2018-05-28
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Stone, Alan

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I. Biographical Information
Full Name:
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 You In Death            
Your 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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