Obituaries

Frances Kearins
B: 1941-04-13
D: 2017-08-22
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Kearins, Frances
John Milo
B: 1927-06-06
D: 2017-08-21
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Milo, John
Ellen Parker
B: 1940-11-01
D: 2017-08-21
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Parker, Ellen
Thaddeus Zychlinski
B: 1931-01-30
D: 2017-08-19
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Zychlinski, Thaddeus
Rita Devaney
B: 1947-11-01
D: 2017-08-15
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Devaney, Rita
Ruth McArthur
B: 1930-05-07
D: 2017-08-14
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McArthur, Ruth
Louis Gambacort
B: 1946-04-20
D: 2017-08-13
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Gambacort, Louis
Nancy Emmons
B: 1946-02-24
D: 2017-08-11
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Emmons, Nancy
Florence Kusalba
B: 1923-10-29
D: 2017-08-10
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Kusalba, Florence
Filomena Salvemini
B: 1919-12-25
D: 2017-08-09
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Salvemini, Filomena
John Christ
B: 1936-04-28
D: 2017-08-07
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Christ, John
Viola Musmanno
B: 1943-10-10
D: 2017-08-05
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Musmanno, Viola
Ruth Haus
B: 1930-05-05
D: 2017-08-05
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Haus, Ruth
Nancy Petersen
B: 1958-03-14
D: 2017-08-04
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Petersen, Nancy
Bella Ronsley
B: 1938-08-05
D: 2017-08-02
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Ronsley, Bella
Wallace Schuff
B: 1929-11-19
D: 2017-07-31
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Schuff, Wallace
Steven Balog
B: 1939-01-16
D: 2017-07-29
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Balog, Steven
Feng-Chuan Wu
B: 1939-03-17
D: 2017-07-28
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Wu, Feng-Chuan
Margaret Nichuck
B: 1925-11-10
D: 2017-07-28
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Nichuck, Margaret
William DeRose
B: 1923-06-26
D: 2017-07-25
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DeRose, William
Nicola Del Vecchio
B: 1928-03-05
D: 2017-07-25
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Del Vecchio, Nicola

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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:
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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:
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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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