Obituaries

Carmen Melendez
B: 1926-11-11
D: 2018-01-16
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Melendez, Carmen
Agnes DeLuca
B: 1920-08-28
D: 2018-01-15
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DeLuca, Agnes
Thomas Petropole
B: 1937-02-12
D: 2018-01-11
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Petropole, Thomas
Arline Alwill
B: 1916-06-03
D: 2018-01-08
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Alwill, Arline
Peter Katradis
B: 1921-04-04
D: 2018-01-08
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Katradis, Peter
Elias Maloof
B: 1925-01-01
D: 2018-01-05
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Maloof, Elias
Galina Serebrennikova
B: 1938-12-29
D: 2017-12-31
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Serebrennikova, Galina
William Simonton
B: 1944-03-24
D: 2017-12-27
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Simonton, William
Ivonne Toma
B: 1959-09-21
D: 2017-12-26
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Toma, Ivonne
Annalouise Graves
B: 1917-05-11
D: 2017-12-26
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Graves, Annalouise
Patricia Sloven
B: 1930-09-20
D: 2017-12-22
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Sloven, Patricia
Catherine Flavin
B: 1946-06-05
D: 2017-12-22
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Flavin, Catherine
Gerard Connelly
B: 1956-09-30
D: 2017-12-21
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Connelly, Gerard
Anthony Pennino
B: 1925-11-21
D: 2017-12-21
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Pennino, Anthony
Thomas Adams
B: 1954-04-12
D: 2017-12-18
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Adams, Thomas
Emile Serposs
B: 1921-06-09
D: 2017-12-17
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Serposs, Emile
Nan Massabni
B: 1942-10-25
D: 2017-12-16
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Massabni, Nan
Michael Fayan
B: 1958-08-27
D: 2017-12-15
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Fayan, Michael
Stavros Kotatis
B: 1933-04-02
D: 2017-12-13
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Kotatis, Stavros
Susan Enright
B: 1946-01-01
D: 2017-12-08
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Enright, Susan
Olivia D'Alessio
B: 1991-11-29
D: 2017-12-06
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D'Alessio, Olivia

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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:
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 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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Visitation Hours:
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:
Cemetery Location:
The cemetery property is in the name of:

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