Obituaries

Gregory Burke
B: 1950-10-23
D: 2019-12-09
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Burke, Gregory
Lily Chang
B: 1974-09-03
D: 2019-12-07
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Chang, Lily
Filomena Vitale
B: 1953-11-01
D: 2019-12-05
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Vitale, Filomena
Peter Adamiszyn
B: 1949-08-05
D: 2019-12-03
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Adamiszyn, Peter
Kathleen Fanto
B: 1942-02-25
D: 2019-11-29
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Fanto, Kathleen
Eleanor Mule
B: 1946-05-28
D: 2019-11-28
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Mule, Eleanor
Thomas Rice
B: 1933-01-06
D: 2019-11-24
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Rice, Thomas
Lilla Ackermann
B: 1932-09-15
D: 2019-11-12
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Ackermann, Lilla
Barbara Floria
B: 1939-11-01
D: 2019-11-11
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Floria, Barbara
Mary Loughran
B: 1940-09-30
D: 2019-11-10
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Loughran, Mary
John Kodetsky
B: 1931-09-21
D: 2019-10-31
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Kodetsky, John
Toy Wong
B: 1925-05-16
D: 2019-10-28
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Wong, Toy
Andrew Salamone
B: 1930-02-21
D: 2019-10-23
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Salamone, Andrew
Margaret Howard
B: 1917-03-04
D: 2019-10-07
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Howard, Margaret
Mechele Solomon
B: 1951-09-24
D: 2019-10-05
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Solomon, Mechele
Patricia Mullaney
B: 1930-09-03
D: 2019-10-04
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Mullaney, Patricia
Victor Durchhalter
B: 1936-04-29
D: 2019-10-04
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Durchhalter, Victor
Josephine Sulewski
B: 1919-12-06
D: 2019-09-24
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Sulewski, Josephine
Estanisla Perez
B: 1920-12-14
D: 2019-09-22
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Perez, Estanisla
Edward Miller
B: 1925-05-18
D: 2019-09-14
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Miller, Edward
Patricia Oettinger
B: 1937-11-16
D: 2019-09-14
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Oettinger, Patricia

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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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