Obituaries

Margaret Kovachik
B: 1928-10-11
D: 2017-02-10
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Kovachik, Margaret
Oscar Berendsohn
B: 1924-06-26
D: 2017-02-07
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Berendsohn, Oscar
Joan Yuknek
B: 1934-06-04
D: 2017-02-06
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Yuknek, Joan
Robert Mandulak
B: 1947-01-29
D: 2017-02-05
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Mandulak, Robert
Frank Cordomeyer
B: 1924-05-24
D: 2017-01-24
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Cordomeyer, Frank
Eleanore Farrell
B: 1916-01-11
D: 2017-01-06
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Farrell, Eleanore
George Mattegat
B: 1929-07-19
D: 2017-01-06
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Mattegat, George
Veronica Seavey
B: 1927-02-01
D: 2017-01-05
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Seavey, Veronica
Michael Margait
B: 1961-09-22
D: 2016-12-25
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Margait, Michael
Joseph Kewley
B: 1941-04-01
D: 2016-12-20
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Kewley, Joseph
Kathleen Haverty
B: 1963-02-01
D: 2016-12-17
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Haverty, Kathleen
Georgia Streck
B: 1935-10-22
D: 2016-12-12
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Streck, Georgia
Katherine Simms
B: 1933-01-20
D: 2016-12-09
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Simms, Katherine
Constance Urban
B: 1945-12-24
D: 2016-12-06
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Urban, Constance
Edward Raymond
B: 1936-07-14
D: 2016-11-24
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Raymond, Edward
Carolita Pratt
B: 1934-10-14
D: 2016-11-24
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Pratt, Carolita
Don Switser
B: 1933-10-26
D: 2016-11-09
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Switser, Don
Anthony Graffeo
B: 1942-10-25
D: 2016-11-04
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Graffeo, Anthony
Anthony Russo
B: 1928-06-06
D: 2016-11-01
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Russo, Anthony
David Donigian
B: 1941-10-31
D: 2016-10-30
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Donigian, David
Mildred Orloski
B: 1925-11-18
D: 2016-10-01
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Orloski, Mildred

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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:

Miscellaneous Notes and Instructions:

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