Obituaries

Lillian Sinclair
B: 1931-10-07
D: 2017-10-19
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Sinclair, Lillian
Rocco Bianchi
B: 1928-07-25
D: 2017-10-19
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Bianchi, Rocco
Teodoro Chiaravalloti
B: 1931-10-04
D: 2017-10-19
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Chiaravalloti, Teodoro
Maria Gravina
B: 1935-01-21
D: 2017-10-18
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Gravina, Maria
Vicki Marshall
B: 1939-08-04
D: 2017-10-18
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Marshall, Vicki
Steven Johnson
B: 1964-11-15
D: 2017-10-18
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Johnson, Steven
Maria Vomiero
B: 1933-12-13
D: 2017-10-17
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Vomiero, Maria
Salvatore Di Matteo
B: 1932-05-14
D: 2017-10-17
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Di Matteo, Salvatore
Michele Cerase
B: 1933-04-28
D: 2017-10-17
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Cerase, Michele
Gwen Liptrott
B: 1919-02-26
D: 2017-10-15
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Liptrott, Gwen
Helen Rafuse
B: 1923-11-20
D: 2017-10-15
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Rafuse, Helen
Bernard Joseph Roach
B: 1924-10-28
D: 2017-10-15
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Roach, Bernard Joseph
Maria Toarba
B: 1942-01-18
D: 2017-10-14
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Toarba, Maria
Maria Machado
B: 1935-10-31
D: 2017-10-14
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Machado, Maria
Robert Risdale
B: 1939-04-26
D: 2017-10-13
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Risdale, Robert
Kathleen Gaitskell
B: 1918-06-18
D: 2017-10-13
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Gaitskell, Kathleen
Zlata Jelincic-Rosati
B: 1949-01-19
D: 2017-10-13
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Jelincic-Rosati, Zlata
Rita McKie
B: 1937-05-26
D: 2017-10-12
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McKie, Rita
Lori Burnham
B: 1954-12-14
D: 2017-10-12
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Burnham, Lori
Fiorenza Lucentini
B: 1936-05-26
D: 2017-10-12
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Lucentini, Fiorenza
Wesley Ashton
B: 1920-06-06
D: 2017-10-12
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Ashton, Wesley

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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:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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