Obituaries

Keith Doak
B: 1932-08-20
D: 2018-01-09
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Doak, Keith
Gayle Kinney
B: 1951-04-05
D: 2018-01-09
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Kinney, Gayle
Robert Merton Young
B: 1935-12-08
D: 2018-01-07
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Young, Robert Merton
Ella Dooley
B: 1926-11-12
D: 2018-01-07
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Dooley, Ella
Kathleen Davis
B: 1962-01-04
D: 2018-01-06
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Davis, Kathleen
Lorri Hasey
B: 1958-05-15
D: 2018-01-05
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Hasey, Lorri
Ruth Heath
B: 1921-06-30
D: 2018-01-05
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Heath, Ruth
Sharon McCormack
B: 1948-08-18
D: 2018-01-04
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McCormack, Sharon
Louis Treworgy
B: 1934-10-04
D: 2018-01-03
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Treworgy, Louis
Timothy McCann
B: 1946-11-14
D: 2018-01-03
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McCann , Timothy
Edward Rich
B: 1933-02-11
D: 2018-01-02
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Rich, Edward
Carlene Peltier
B: 1942-07-03
D: 2018-01-02
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Peltier, Carlene
Carolyn D. Howard
B: 1918-07-31
D: 2018-01-01
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Howard, Carolyn D.
R. Deane Anderson
B: 1921-03-13
D: 2018-01-01
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Anderson, R. Deane
Ann D. Kearns
B: 1936-11-19
D: 2017-12-29
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Kearns, Ann D.
Evelyn Havey
B: 1927-12-21
D: 2017-12-28
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Havey, Evelyn
Robert Stevenson
B: 1933-03-03
D: 2017-12-27
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Stevenson, Robert
Earl Freeman
B: 1936-05-04
D: 2017-12-25
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Freeman, Earl
Clarence J. Theriault, Jr.
B: 1947-03-27
D: 2017-12-24
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Theriault, Jr., Clarence J.
Edward Black
B: 1927-10-30
D: 2017-12-23
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Black, Edward
Jeffery Osborne
B: 1962-11-21
D: 2017-12-22
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Osborne, Jeffery

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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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