Obituaries

Marie Williamson
B: 1927-05-04
D: 2017-12-12
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Williamson, Marie
Olga Darico
B: 1926-07-23
D: 2017-12-02
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Darico, Olga
Bruce Stave
B: 1937-05-17
D: 2017-12-02
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Stave, Bruce
Phillip Dodd
B: 1957-07-10
D: 2017-12-02
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Dodd, Phillip
Ingrid Tangarone
B: 1931-12-21
D: 2017-12-01
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Tangarone, Ingrid
Everett Dickinson
B: 1929-06-26
D: 2017-11-30
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Dickinson, Everett
Judith Bureau
B: 1937-11-23
D: 2017-11-29
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Bureau, Judith
Janet Jamieson
B: 1938-03-15
D: 2017-11-29
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Jamieson, Janet
Donald Hoekstra
B: 1922-05-12
D: 2017-11-26
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Hoekstra, Donald
Harry Mohn
B: 1932-10-10
D: 2017-11-25
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Mohn, Harry
Derek Somers
B: 1988-07-11
D: 2017-11-24
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Somers, Derek
Dorothy Stevens
B: 1929-06-06
D: 2017-11-20
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Stevens, Dorothy
Marion Mikalson
B: 1928-02-07
D: 2017-11-19
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Mikalson, Marion
Hilda Martin
B: 1938-01-09
D: 2017-11-18
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Martin, Hilda
Samuel Donnell
B: 1928-10-02
D: 2017-11-16
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Donnell, Samuel
Alphonse Veilleux
B: 1941-08-04
D: 2017-11-15
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Veilleux, Alphonse
Jean Waterhouse
B: 1942-04-16
D: 2017-11-14
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Waterhouse, Jean
Margaret Britner
B: 1920-05-28
D: 2017-11-11
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Britner, Margaret
William Tripp
B: 1943-04-28
D: 2017-11-07
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Tripp, William
Joseph Sponzo
B: 1956-02-21
D: 2017-11-06
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Sponzo, Joseph
Seth Stanley
B: 1973-06-21
D: 2017-11-02
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Stanley, Seth

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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

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:

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