Obituaries

Jane Solomon
B: 1943-12-02
D: 2020-11-20
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Solomon, Jane
Hugh Cole
B: 1945-01-27
D: 2020-11-19
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Cole, Hugh
Gloria Blackmore
B: 1954-08-02
D: 2020-11-16
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Blackmore, Gloria
William Groski, Sr.
B: 1943-08-02
D: 2020-11-16
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Groski, Sr., William
Dorothy Sainio
B: 1932-04-03
D: 2020-11-15
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Sainio, Dorothy
Wilsie Myers
B: 1928-03-02
D: 2020-11-14
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Myers, Wilsie
Janet de Winter
B: 1932-08-27
D: 2020-11-10
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de Winter, Janet
Wyatt Willard
B: 2020-11-03
D: 2020-11-10
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Willard, Wyatt
Adeline Dean
B: 1921-05-01
D: 2020-11-08
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Dean, Adeline
Ida Willette
B: 1928-11-13
D: 2020-11-08
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Willette, Ida
Harold LeClair
B: 1962-05-16
D: 2020-11-08
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LeClair, Harold
Paula Cole
B: 1949-11-02
D: 2020-11-07
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Cole, Paula
Duane Miller
B: 1945-06-14
D: 2020-11-07
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Miller, Duane
Colleen Robbins
B: 1945-11-04
D: 2020-11-07
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Robbins, Colleen
Kevin Lovely
B: 1986-04-07
D: 2020-11-06
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Lovely, Kevin
Dianne W. Clark
B: 1940-12-26
D: 2020-11-06
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Clark, Dianne W.
Diane Casavant
B: 1951-10-23
D: 2020-11-05
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Casavant, Diane
Patricia Clark
B: 1955-03-11
D: 2020-11-04
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Clark, Patricia
Billy Coffman
B: 1948-09-26
D: 2020-11-03
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Coffman, Billy
Debra Messer
B: 1950-11-20
D: 2020-11-02
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Messer, Debra
Mildred Olson
B: 1929-05-04
D: 2020-11-01
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Olson, Mildred

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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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Please place my information on file