Obituaries

Gloria Hagerty
B: 1929-11-09
D: 2018-01-13
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Hagerty, Gloria
Edith Gilleo
B: 1927-11-08
D: 2018-01-12
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Gilleo, Edith
Jianna Francis
B: 2018-01-05
D: 2018-01-05
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Francis, Jianna
Ronald Jeter
B: 1959-07-14
D: 2018-01-05
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Jeter, Ronald
Doris Munroe
B: 1931-03-15
D: 2018-01-05
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Munroe, Doris
Gladys Hyatt
B: 1928-05-31
D: 2018-01-04
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Hyatt, Gladys
Robert Conklin
B: 1946-09-27
D: 2017-12-30
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Conklin, Robert
Donald Perry
B: 1954-04-16
D: 2017-12-30
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Perry, Donald
Donald Perry
B: 1954-04-16
D: 2017-12-30
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Perry, Donald
Vera Macaulay
B: 1925-02-23
D: 2017-12-21
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Macaulay, Vera
Barbara Treasure
B: 1958-11-03
D: 2017-12-10
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Treasure, Barbara
James Armstrong
B: 1933-10-09
D: 2017-12-08
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Armstrong, James
Dorothy Curtin
B: 1958-06-03
D: 2017-12-08
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Curtin, Dorothy
Walter Jackson
D: 2017-12-05
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Jackson, Walter
Marjorie DeLuca
B: 1924-03-30
D: 2017-12-05
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DeLuca, Marjorie
Nicole McGimpsey
B: 1947-01-29
D: 2017-12-03
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McGimpsey, Nicole
John Montross
B: 1921-11-05
D: 2017-12-01
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Montross, John
Tory Horton
B: 1934-02-12
D: 2017-11-28
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Horton, Tory
Gail Fox
B: 1947-09-26
D: 2017-11-25
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Fox, Gail
Lucille Costable
B: 1941-04-20
D: 2017-11-23
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Costable, Lucille
Helen Dunstan
B: 1928-05-20
D: 2017-11-22
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Dunstan, Helen

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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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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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