Obituaries

Joan M. (McLean) Zanchi
D: 2019-06-26
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Zanchi, Joan M. (McLean)
Marie Elena Stephens
D: 2019-06-25
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Stephens, Marie Elena
Edward William Barnes
B: 1926-02-02
D: 2019-06-24
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Barnes, Edward William
Joseph F. "Skip" Slason
B: 1931-11-12
D: 2019-06-09
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Slason, Joseph F. "Skip"
Thomas Joseph Russell
D: 2019-06-05
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Russell, Thomas Joseph
Casey D. Sims
B: 1995-07-08
D: 2019-06-01
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Sims, Casey D.
Rose Mary (Garbarino) Sweeney
D: 2019-05-20
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Sweeney, Rose Mary (Garbarino)
Gemma M. (Aceti) Botti
D: 2019-05-09
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Botti, Gemma M. (Aceti)
Edna A. Toska
D: 2019-03-28
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Toska, Edna A.
Edward J. "Eddie" Doherty
D: 2019-03-24
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Doherty, Edward J. "Eddie"
Dorothy E. (Bowen) Tucker
D: 2019-03-08
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Tucker, Dorothy E. (Bowen)
Donald P. Healy
D: 2019-02-27
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Healy, Donald P.
Carol A. (Rogers) Marchione
D: 2019-02-24
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Marchione, Carol A. (Rogers)
Albert J. Botti
D: 2019-02-24
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Botti, Albert J.
Barbara Jeanne (Slamin) Barnes
D: 2019-02-13
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Barnes, Barbara Jeanne (Slamin)
Richard A. "Flash" Harper
D: 2019-02-06
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Harper, Richard A. "Flash"
Lillian M. (Cragin) Gould
D: 2019-02-01
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Gould, Lillian M. (Cragin)
Eugene Thomas Coakley
B: 1932-03-14
D: 2019-01-20
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Coakley, Eugene Thomas
Elnora Mae (Roth) Grange
B: 1928-03-07
D: 2019-01-13
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Grange, Elnora Mae (Roth)
Josephine (Liberatore) Rose
B: 1926-06-08
D: 2018-12-28
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Rose, Josephine (Liberatore)
Stephen Paul Barnard
B: 1946-06-15
D: 2018-12-02
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Barnard, Stephen Paul

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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:

Miscellaneous Notes and Instructions:

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