Obituaries

Veronika Topic
B: 1948-06-25
D: 2018-09-16
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Topic, Veronika
Pablo Ancheta
B: 1938-01-25
D: 2018-09-16
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Ancheta, Pablo
Patricia Carrine
B: 1954-09-23
D: 2018-09-16
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Carrine, Patricia
Christine Keane-Sellars
B: 1962-12-19
D: 2018-09-16
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Keane-Sellars, Christine
Alfred Dignard
B: 1919-08-30
D: 2018-09-15
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Dignard, Alfred
Doreen Drapeau
B: 1932-06-04
D: 2018-09-15
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Drapeau, Doreen
Simone Campagna
B: 1930-07-24
D: 2018-09-15
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Campagna, Simone
Madeline Sinclair
B: 1922-11-27
D: 2018-09-14
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Sinclair, Madeline
Peter Sharp
B: 1933-05-14
D: 2018-09-14
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Sharp, Peter
John Browley
B: 1929-04-16
D: 2018-09-14
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Browley, John
Edward "Eddie" Shakes
B: 1944-06-25
D: 2018-09-14
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Shakes, Edward "Eddie"
Giuseppina Marcellino
B: 1932-11-24
D: 2018-09-13
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Marcellino, Giuseppina
Piera Corazza
B: 1921-05-01
D: 2018-09-13
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Corazza, Piera
Margarida Mota
B: 1914-12-25
D: 2018-09-12
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Mota , Margarida
Elvira Chamale
B: 1941-02-16
D: 2018-09-12
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Chamale, Elvira
Eric Everison
B: 1929-08-02
D: 2018-09-11
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Everison , Eric
Frank Sherwin
B: 1929-07-17
D: 2018-09-11
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Sherwin, Frank
Philip Watson
B: 1934-06-07
D: 2018-09-11
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Watson, Philip
Catherine Ansell
B: 1961-09-01
D: 2018-09-11
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Ansell, Catherine
Pelino Valentino Scenna
B: 1932-06-11
D: 2018-09-10
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Scenna, Pelino Valentino
Gary O'Connor
B: 1960-10-26
D: 2018-09-10
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O'Connor, Gary

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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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