Obituaries

Harold Schenck
D: 2017-11-18
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Schenck, Harold
Edward Ziek
D: 2017-11-17
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Ziek, Edward
Joseph Durkan
D: 2017-11-17
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Durkan, Joseph
Dr. Quirino T. Yap
B: 1939-01-09
D: 2017-11-08
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Yap, Dr. Quirino T.
Roberto Arias
B: 1931-09-03
D: 2017-11-07
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Arias, Roberto
Edna Marie Tokarski
B: 1926-10-02
D: 2017-10-28
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Tokarski, Edna Marie
Lottie L. Alexander
B: 1927-03-11
D: 2017-10-28
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Alexander , Lottie L.
Scott Lambert
B: 1965-06-23
D: 2017-10-25
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Lambert , Scott
Charles Edward Callahan
B: 1940-05-01
D: 2017-10-22
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Callahan, Charles Edward
Anna Perricone
B: 1919-04-13
D: 2017-10-13
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Perricone , Anna
MaryJoan H. Fasciano
B: 1932-11-26
D: 2017-10-05
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Fasciano, MaryJoan H.
Irene A. Biviano
B: 1925-01-22
D: 2017-10-03
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Biviano, Irene A.
Bridget Ann Ryan
B: 1986-04-19
D: 2017-09-23
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Ryan , Bridget Ann
Josephine Bonnie Smith
B: 1930-11-19
D: 2017-09-20
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Smith, Josephine Bonnie
Paula Gomez
B: 1998-05-10
D: 2017-09-07
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Gomez, Paula
Adelaide Van Winkle
B: 1917-01-21
D: 2017-08-27
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Van Winkle, Adelaide
William F. Kraus
B: 1929-06-19
D: 2017-08-26
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Kraus, William F.
Tyler M. Orban
B: 1999-05-17
D: 2017-08-26
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Orban, Tyler M.
Joan E. Middleton
B: 1936-10-22
D: 2017-08-25
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Middleton , Joan E.
Louis Olivari
B: 1945-02-27
D: 2017-08-25
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Olivari , Louis
Justyn Zysk
B: 1928-01-01
D: 2017-08-23
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Zysk, Justyn

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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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