Obituaries

Helen Donnelly
B: 1934-05-20
D: 2017-12-07
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Donnelly, Helen
Dorothy Gaspari
B: 1927-08-21
D: 2017-12-07
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Gaspari, Dorothy
Richard Eible
B: 1940-07-26
D: 2017-12-06
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Eible, Richard
John Yaniero
B: 1920-09-06
D: 2017-12-06
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Yaniero , John
Doris Godun
B: 1941-02-16
D: 2017-12-05
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Godun, Doris
Mary Kerrigan
B: 1941-07-17
D: 2017-12-04
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Kerrigan , Mary
Bernadette Hooley
B: 1944-06-14
D: 2017-12-04
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Hooley, Bernadette
John Van Allen
B: 1927-10-21
D: 2017-12-02
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Van Allen, John
Thuy Nguyen
B: 1974-09-14
D: 2017-12-02
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Nguyen, Thuy
Rose DeFazio
B: 1928-07-18
D: 2017-12-01
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DeFazio, Rose
Janelle Nigro
B: 1952-09-12
D: 2017-11-26
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Nigro , Janelle
Louise Gall
B: 1923-01-27
D: 2017-11-26
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Gall, Louise
John Vanderveer
B: 1969-09-17
D: 2017-11-26
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Vanderveer, John
Robert Jones
B: 1957-08-29
D: 2017-11-24
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Jones, Robert
Juan Garay
B: 1941-06-12
D: 2017-11-24
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Garay, Juan
Doris Milo
D: 2017-11-21
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Milo , Doris
Carmen Cosentino
B: 1925-11-09
D: 2017-11-19
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Cosentino, Carmen
Margaret Terry
B: 1930-02-13
D: 2017-11-19
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Terry, Margaret
Daniel Olson
B: 1925-10-07
D: 2017-11-19
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Olson, Daniel
Phillip Petracca
B: 1932-10-24
D: 2017-11-15
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Petracca, Phillip
William Collins
B: 1929-06-20
D: 2017-11-15
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Collins, William

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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:
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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:
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Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
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