Obituaries

Carmen Cosentino
B: 1925-11-09
D: 2017-11-19
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Cosentino, Carmen
Margaret Terry
B: 1930-02-13
D: 2017-11-19
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Terry, Margaret
Daniel Olson
B: 1925-10-07
D: 2017-11-19
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Olson, Daniel
Phillip Petracca
B: 1932-10-24
D: 2017-11-15
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Petracca, Phillip
William Collins
B: 1929-06-20
D: 2017-11-15
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Collins, William
Adoracion Ongsiaco
B: 1936-08-26
D: 2017-11-15
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Ongsiaco, Adoracion
Mark Zeliff
B: 1957-12-19
D: 2017-11-15
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Zeliff, Mark
Sharon Church
B: 1944-01-19
D: 2017-11-14
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Church, Sharon
Colleen Zitsch
B: 1953-01-20
D: 2017-11-13
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Zitsch, Colleen
Marcelina Cruz
B: 1925-02-25
D: 2017-11-11
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Cruz, Marcelina
Linda Krizan
B: 1942-09-15
D: 2017-11-10
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Krizan , Linda
Edward Oprysk
B: 1917-02-22
D: 2017-11-09
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Oprysk, Edward
Lillias Schuman
B: 1937-10-11
D: 2017-11-09
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Schuman, Lillias
Michael Reilly
B: 1949-01-07
D: 2017-11-08
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Reilly, Michael
Bertha Mastrian
B: 1933-11-26
D: 2017-11-07
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Mastrian , Bertha
Constance Harding
B: 1922-09-19
D: 2017-11-07
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Harding, Constance
Thomas Wujciski
B: 1948-05-06
D: 2017-11-06
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Wujciski, Thomas
Trevor Shaw
B: 1941-12-21
D: 2017-11-06
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Shaw, Trevor
Teresa Yen Nguyen
B: 1937-04-12
D: 2017-11-04
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Nguyen, Teresa Yen
Anne Marciniak
B: 1929-10-05
D: 2017-11-03
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Marciniak, Anne
Andrew Graybush
B: 1938-08-16
D: 2017-11-03
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Graybush, Andrew

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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:
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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
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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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