Obituaries

Anthony Socha
D: 2018-07-22
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Socha, Anthony
Paula Michaud
B: 1956-01-16
D: 2018-07-18
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Michaud, Paula
Kevin Hill
B: 1956-12-18
D: 2018-07-15
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Hill, Kevin
Karl Kellner
B: 1944-07-03
D: 2018-07-14
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Kellner, Karl
SGM (R) Chester Morgan
B: 1937-05-18
D: 2018-07-14
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Morgan, SGM (R) Chester
Lorrie Langan
B: 1956-01-27
D: 2018-07-11
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Langan, Lorrie
Brian Maynard
B: 1950-07-29
D: 2018-07-10
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Maynard, Brian
Irene Turi
B: 1934-02-04
D: 2018-07-06
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Turi, Irene
Michael Cannizzaro
B: 1966-11-10
D: 2018-07-04
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Cannizzaro, Michael
Rita Nelson
B: 1932-05-23
D: 2018-07-04
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Nelson, Rita
Richard Roberts
B: 1957-11-27
D: 2018-07-02
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Roberts, Richard
Andrew Maciolek
B: 1931-07-21
D: 2018-07-01
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Maciolek, Andrew
Lucille Kuhnly
B: 1918-10-24
D: 2018-06-30
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Kuhnly, Lucille
Veronica Prokop
B: 1924-08-31
D: 2018-06-30
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Prokop, Veronica
Charles Kellem
B: 1937-01-22
D: 2018-06-27
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Kellem, Charles
Anne Mathieu
B: 1953-04-21
D: 2018-06-24
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Mathieu, Anne
Peter Keenan
B: 1938-10-03
D: 2018-06-24
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Keenan, Peter
Diane Kupferschmid
B: 1937-08-31
D: 2018-06-20
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Kupferschmid, Diane
Priscilla Cyr
B: 1930-05-14
D: 2018-06-18
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Cyr, Priscilla
Peter Blume
B: 1945-11-27
D: 2018-06-18
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Blume, Peter
Wayne Schmeiske
B: 1940-02-23
D: 2018-06-18
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Schmeiske, Wayne

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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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