Obituaries

Sylvanus R. Tracy Jr.
B: 1926-05-08
D: 2018-02-13
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Tracy Jr., Sylvanus R.
Joan Williams
B: 1931-03-04
D: 2018-02-13
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Williams, Joan
Shirley Howard
B: 1928-09-29
D: 2018-02-13
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Howard, Shirley
Christopher George Limberis
B: 1949-09-26
D: 2018-02-11
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Limberis, Christopher George
Barbara Anne Donnelly
B: 1958-09-13
D: 2018-02-11
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Donnelly, Barbara Anne
Darla Jean Blakeman
B: 1949-11-16
D: 2018-02-09
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Blakeman , Darla Jean
Vaughn Holyoke
B: 1934-08-16
D: 2018-02-07
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Holyoke, Vaughn
Rose Stewart
B: 1931-07-23
D: 2018-02-07
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Stewart, Rose
Sherman Hasbrouck
B: 1924-04-23
D: 2018-02-04
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Hasbrouck, Sherman
Thelma M. Woodbury
B: 1929-08-17
D: 2018-02-03
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Woodbury, Thelma M.
Arthur Emery
B: 1948-02-12
D: 2018-02-03
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Emery, Arthur
Richard Vernal
B: 1935-11-29
D: 2018-02-02
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Vernal, Richard
Michael Xirinachs II
B: 1924-04-08
D: 2018-02-02
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Xirinachs II, Michael
Raymond Humphrey
B: 1945-06-13
D: 2018-01-30
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Humphrey, Raymond
Faye McDermott
B: 1944-04-07
D: 2018-01-30
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McDermott, Faye
John Joseph "Joe" Cushing, Jr.
B: 1929-05-04
D: 2018-01-29
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Cushing, Jr., John Joseph "Joe"
Michael S. Bordick
B: 1943-01-06
D: 2018-01-28
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Bordick, Michael S.
Reginald Williams
B: 1939-04-16
D: 2018-01-28
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Williams, Reginald
Elizabeth Anne "Betty" Grant
B: 1935-08-31
D: 2018-01-27
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Grant, Elizabeth Anne "Betty"
Mason Bell
B: 2017-11-20
D: 2018-01-26
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Bell, Mason
Phyllis D. Freese
B: 1933-03-08
D: 2018-01-25
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Freese, Phyllis D.

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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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