Obituaries

Barbara Holleran
B: 1940-06-08
D: 2018-02-20
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Holleran, Barbara
Jean Walter
B: 1933-07-25
D: 2018-02-20
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Walter, Jean
Bertha Hylkema
B: 1927-02-18
D: 2018-02-19
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Hylkema, Bertha
Michael Gemellaro
B: 1952-01-12
D: 2018-02-19
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Gemellaro, Michael
Jean Jones Navarro
B: 1947-05-22
D: 2018-02-17
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Jones Navarro, Jean
John Lahoda
B: 1926-12-20
D: 2018-02-16
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Lahoda, John
Mary Ridilla
B: 1922-02-03
D: 2018-02-15
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Ridilla, Mary
Mary Lou Hreshko
B: 1932-07-26
D: 2018-02-15
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Hreshko , Mary Lou
Eileen Freitag
B: 1947-05-19
D: 2018-02-15
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Freitag, Eileen
Josephine Nappa
B: 1922-12-10
D: 2018-02-15
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Nappa, Josephine
Robert Prybella
B: 1953-01-18
D: 2018-02-14
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Prybella, Robert
Paul Miller
B: 1989-01-14
D: 2018-02-14
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Miller, Paul
Clarence Wilson
B: 1926-04-02
D: 2018-02-13
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Wilson, Clarence
Frank Licato
B: 1934-03-08
D: 2018-02-11
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Licato, Frank
Julian Oszeyczik
B: 1919-12-30
D: 2018-02-11
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Oszeyczik, Julian
Thomas Sisco
B: 1952-09-06
D: 2018-02-11
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Sisco, Thomas
Janice Burns
B: 1960-04-12
D: 2018-02-11
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Burns , Janice
Esther Gondeck
B: 1924-02-26
D: 2018-02-09
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Gondeck, Esther
Gordon Cassidy
B: 1933-07-17
D: 2018-02-08
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Cassidy, Gordon
Jordan Madsen
B: 1989-09-29
D: 2018-02-08
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Madsen, Jordan
Ba Ho
B: 1926-08-17
D: 2018-02-07
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Ho, Ba

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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:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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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
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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
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Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
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