Obituaries

Marilyn Cowan
B: 1938-01-22
D: 2018-07-16
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Cowan, Marilyn
Gertrude Thompson
B: 1926-09-25
D: 2018-07-16
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Thompson, Gertrude
Tamara Marie Boulier
B: 1966-09-20
D: 2018-07-15
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Boulier, Tamara Marie
Eric Cole
B: 1988-11-28
D: 2018-07-13
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Cole, Eric
Peter D'Errico
B: 1931-02-21
D: 2018-07-11
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D'Errico, Peter
Lynn Marie Hathaway
B: 1967-10-14
D: 2018-07-10
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Hathaway, Lynn Marie
Gary Adams
B: 1940-07-09
D: 2018-07-09
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Adams, Gary
Phyllis E. (Cobb) Toothaker Ricker
B: 1925-04-23
D: 2018-07-09
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Ricker, Phyllis E. (Cobb) Toothaker
Mary Yoder
B: 1943-06-21
D: 2018-07-06
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Yoder, Mary
Shirley Henderson
B: 1923-07-08
D: 2018-07-06
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Henderson, Shirley
Michael Solomon
B: 1965-11-16
D: 2018-07-05
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Solomon, Michael
Paul Amoroso
B: 1955-04-28
D: 2018-07-04
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Amoroso, Paul
Lawrence Winchester
B: 1951-09-22
D: 2018-07-04
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Winchester, Lawrence
Marjorie Cameron
B: 1922-07-03
D: 2018-07-02
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Cameron, Marjorie
Cathyne Hopler
B: 1953-02-08
D: 2018-07-01
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Hopler, Cathyne
Miles King Grindle
B: 1929-06-28
D: 2018-06-30
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Grindle, Miles King
George Dennis Tardiff
B: 1948-12-07
D: 2018-06-30
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Tardiff, George Dennis
Alex James Malone
B: 1995-10-26
D: 2018-06-30
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Malone, Alex James
John Wesley Lisenby
B: 1938-06-28
D: 2018-06-28
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Lisenby, John Wesley
Darryl Peary
B: 1945-09-13
D: 2018-06-27
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Peary, Darryl
David E. Smith
B: 1935-12-04
D: 2018-06-25
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Smith, David E.

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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:
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 You In Death            
Your 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:
         

Miscellaneous Notes and Instructions:

         

             

       

Please select one of the options below:

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Please place my information on file