Obituaries

Isabel Wanyagah
B: 1994-10-29
D: 2018-10-08
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Wanyagah, Isabel
Mary Miller
B: 1922-03-06
D: 2018-10-06
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Miller, Mary
Ronald Shirah
B: 1952-11-02
D: 2018-10-03
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Shirah, Ronald
Phulo Laloo
B: 1939-07-16
D: 2018-10-02
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Laloo, Phulo
Robin Hanrahan
B: 1958-04-25
D: 2018-09-29
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Hanrahan, Robin
Elizabeth Dale
B: 1931-02-07
D: 2018-09-29
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Dale, Elizabeth
Carole Long
B: 1937-08-04
D: 2018-09-26
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Long, Carole
Theresa Bertolotti
B: 1933-11-03
D: 2018-09-18
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Bertolotti, Theresa
John Johnson
B: 1926-11-16
D: 2018-09-18
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Johnson, John
Jennifer Wright
B: 1984-04-24
D: 2018-09-13
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Wright, Jennifer
Magda Allam
B: 1947-05-20
D: 2018-09-10
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Allam, Magda
Demetrios Vasiliades
B: 1931-04-27
D: 2018-09-10
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Vasiliades, Demetrios
John Johnson
B: 1926-11-16
D: 2018-09-08
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Johnson, John
Edward Miller
B: 1988-12-10
D: 2018-09-02
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Miller, Edward
Alpha Claunch
B: 1932-10-27
D: 2018-09-01
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Claunch, Alpha
Richard Cox
B: 1945-04-12
D: 2018-08-31
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Cox, Richard
Erma Robino
B: 1944-04-27
D: 2018-08-29
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Robino, Erma
Elizabeth Hansard
B: 1926-07-06
D: 2018-08-25
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Hansard, Elizabeth
Margaret Beattie
B: 1925-09-15
D: 2018-08-13
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Beattie, Margaret
Hoke Johnson
B: 1928-06-01
D: 2018-08-02
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Johnson, Hoke
Nicholas Athas
B: 1956-05-31
D: 2018-08-02
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Athas, Nicholas

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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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