Obituaries

Leonard Reichhard
B: 1922-05-03
D: 2017-11-19
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Reichhard, Leonard
Ruth Aliski
B: 1917-12-29
D: 2017-11-17
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Aliski, Ruth
Kevin Chin
B: 1969-05-11
D: 2017-11-14
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Chin, Kevin
Aurilie Thivierge
B: 1922-03-21
D: 2017-11-14
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Thivierge, Aurilie
Richard Reinhart
B: 1937-07-18
D: 2017-11-14
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Reinhart, Richard
Ruth Gillespie
B: 1922-07-01
D: 2017-11-13
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Gillespie, Ruth
Zita Duffy
B: 1924-03-19
D: 2017-11-11
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Duffy, Zita
Gregory Dublanica
B: 1973-07-07
D: 2017-11-06
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Dublanica, Gregory
Lorraine Sagers
B: 1929-08-23
D: 2017-10-31
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Sagers, Lorraine
Aidan Kidney
B: 1963-04-26
D: 2017-10-31
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Kidney, Aidan
Barbara Beaudin
B: 1949-11-16
D: 2017-10-31
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Beaudin, Barbara
Mary Hughes
B: 1932-04-17
D: 2017-10-26
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Hughes, Mary
Carol Rogers
B: 1947-03-28
D: 2017-10-26
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Rogers, Carol
Mary Marecki
B: 1918-04-23
D: 2017-10-21
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Marecki, Mary
Donna Faunce
B: 1930-08-08
D: 2017-10-20
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Faunce, Donna
David Shaver
B: 1938-07-01
D: 2017-10-17
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Shaver, David
Dolores Martocchio
B: 1927-10-18
D: 2017-10-14
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Martocchio, Dolores
Gunvor Norcross
B: 1927-07-27
D: 2017-10-14
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Norcross, Gunvor
Sylvia Bahre
B: 1940-09-03
D: 2017-10-13
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Bahre, Sylvia
Marian Wesolowski
B: 1955-08-15
D: 2017-10-12
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Wesolowski, Marian
Phyllis Lassen
B: 1937-07-13
D: 2017-10-12
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Lassen, Phyllis

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I. Biographical Information

Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:
(xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
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Please select Grade/Years of Education completed:        
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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 You In Death
Your Occupation:
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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:
         

Miscellaneous Notes and Instructions:

             

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