Obituaries

Chief Michael Cleary,
B: 1951-12-14
D: 2018-07-14
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Cleary,, Chief Michael
Daniel Garofalo
B: 2002-06-13
D: 2018-07-12
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Garofalo, Daniel
William Bedford
B: 1948-07-06
D: 2018-07-12
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Bedford, William
Elizabeth Seylaz
B: 1919-06-30
D: 2018-07-11
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Seylaz, Elizabeth
Thomas Hudson
B: 1934-10-10
D: 2018-07-11
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Hudson, Thomas
Gina Salamon
B: 1928-02-07
D: 2018-07-09
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Salamon, Gina
Nettie Sherby
B: 1926-10-18
D: 2018-07-07
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Sherby, Nettie
Jacqueline Kleinbeck
B: 1931-08-22
D: 2018-07-05
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Kleinbeck , Jacqueline
Carrie Platten
B: 1977-07-20
D: 2018-07-05
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Platten, Carrie
Edward Kobilis
B: 1998-06-01
D: 2018-07-04
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Kobilis, Edward
Jessica Montes
B: 1989-08-24
D: 2018-07-04
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Montes, Jessica
Stephen Beckner
B: 1946-06-22
D: 2018-07-01
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Beckner, Stephen
Dorothy Munz
B: 1926-12-03
D: 2018-06-30
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Munz, Dorothy
Nicholas Gallicchio
B: 1943-06-01
D: 2018-06-30
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Gallicchio, Nicholas
Steven Zarra
B: 1955-04-29
D: 2018-06-30
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Zarra, Steven
Pasquale Cavicchio
B: 1938-10-08
D: 2018-06-29
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Cavicchio, Pasquale
Anne Butman
B: 1966-09-25
D: 2018-06-28
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Butman, Anne
William Reedy
B: 1943-12-25
D: 2018-06-28
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Reedy, William
Namphong Nguyen
B: 1938-06-10
D: 2018-06-27
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Nguyen, Namphong
Ruth Cwiakala
B: 1946-09-04
D: 2018-06-27
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Cwiakala, Ruth
Carol Granski
B: 1937-10-20
D: 2018-06-26
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Granski, Carol

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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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