Obituaries

Paul Perdikis
B: 1955-01-26
D: 2019-01-17
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Perdikis, Paul
Stephen Rollins
B: 1945-11-01
D: 2019-01-17
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Rollins, Stephen
Dr. John C. Bjorn
B: 1932-10-13
D: 2019-01-16
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Bjorn, Dr. John C.
Theresa McFarland
B: 1925-08-30
D: 2019-01-15
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McFarland, Theresa
Patricia Butterfield
B: 1930-12-08
D: 2019-01-14
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Butterfield, Patricia
Bonita Hodgins
B: 1939-11-17
D: 2019-01-14
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Hodgins, Bonita
Amy Eyles
B: 1972-02-09
D: 2019-01-14
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Eyles, Amy
Edith Louise Hodgins
B: 1939-06-18
D: 2019-01-13
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Hodgins, Edith Louise
Elaine Wyman
B: 1933-06-15
D: 2019-01-11
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Wyman, Elaine
Hope Hathorn
B: 1925-04-02
D: 2019-01-10
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Hathorn, Hope
Alton French
B: 1934-08-27
D: 2019-01-10
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French, Alton
Verna Cocks
B: 1938-08-07
D: 2019-01-09
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Cocks, Verna
Harriett Lantz
B: 1922-02-21
D: 2019-01-09
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Lantz, Harriett
Sylvia Pomroy
B: 1932-02-22
D: 2019-01-07
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Pomroy, Sylvia
Sheldon Corson
B: 1954-05-27
D: 2019-01-06
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Corson, Sheldon
Edward Joseph McKenna
B: 1943-07-22
D: 2019-01-05
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McKenna, Edward Joseph
Walter Musson
B: 1950-11-30
D: 2019-01-04
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Musson, Walter
Deborrah A. "Debbie" Harmon
B: 1955-08-30
D: 2019-01-01
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Harmon, Deborrah A. "Debbie"
Colonel (Ret.) Roger Dow Gillis
B: 1935-03-14
D: 2019-01-01
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Gillis, Colonel (Ret.) Roger Dow
Joan Emery
B: 1931-06-01
D: 2018-12-31
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Emery, Joan
Rosella Frey
B: 1937-07-08
D: 2018-12-31
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Frey, Rosella

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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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