Obituaries

RaMona LaBree
D: 2018-10-17
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LaBree, RaMona
Maria G. Brountas
B: 1932-03-18
D: 2018-10-14
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Brountas, Maria G.
Geraldine Richards
B: 1929-04-30
D: 2018-10-13
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Richards, Geraldine
Cecil Wilson
B: 1928-01-07
D: 2018-10-13
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Wilson, Cecil
Betty Lou Robinson
B: 1935-05-10
D: 2018-10-12
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Robinson, Betty Lou
Joseph Boulier
B: 1926-07-21
D: 2018-10-12
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Boulier, Joseph
Wyann Jean Millington
B: 1951-07-26
D: 2018-10-12
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Millington, Wyann Jean
Elizabeth O'Connell
B: 1930-01-20
D: 2018-10-10
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O'Connell, Elizabeth
Keith Loring Gove
B: 1933-09-18
D: 2018-10-10
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Gove, Keith Loring
Ernest Eyles
B: 1951-06-28
D: 2018-10-10
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Eyles, Ernest
Sandra Stevenson
B: 1943-03-23
D: 2018-10-09
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Stevenson, Sandra
James Chick
B: 1951-11-28
D: 2018-10-09
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Chick, James
Mary McPherson
B: 1927-06-08
D: 2018-10-08
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McPherson, Mary
Suzanne Mock
B: 1934-09-03
D: 2018-10-08
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Mock, Suzanne
Jane Reagan
B: 1964-01-27
D: 2018-10-07
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Reagan, Jane
Richard 'Cos' Cosmos
B: 1952-10-20
D: 2018-10-07
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Cosmos, Richard 'Cos'
Thomas Walsh
B: 1929-10-08
D: 2018-10-06
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Walsh, Thomas
Blodwen "Bea" E. Treworgy
B: 1929-12-08
D: 2018-10-06
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Treworgy, Blodwen "Bea" E.
Faith Louise Roderick
B: 1966-04-01
D: 2018-10-04
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Roderick, Faith Louise
Daniel Powell
B: 1994-06-07
D: 2018-10-01
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Powell, Daniel
Dorothy Marsh
B: 1927-10-29
D: 2018-10-01
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Marsh, Dorothy

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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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