Obituaries

Walter Maj, Jr.
B: 1952-09-24
D: 2017-09-19
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Maj, Jr., Walter
James Faraci
B: 1921-06-23
D: 2017-09-15
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Faraci, James
Craig Kulick
B: 1987-07-14
D: 2017-09-15
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Kulick, Craig
Daniel Ferguson
B: 1969-05-30
D: 2017-09-15
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Ferguson, Daniel
Frederick Bladon
B: 1924-04-10
D: 2017-09-14
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Bladon, Frederick
Deborah Tomore
B: 1956-01-30
D: 2017-09-13
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Tomore, Deborah
Orestes Cembrola
B: 1920-05-13
D: 2017-09-12
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Cembrola, Orestes
Evelyn Welsh
B: 1921-04-03
D: 2017-09-11
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Welsh, Evelyn
Theresa Amorim
B: 1943-03-13
D: 2017-09-10
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Amorim, Theresa
John Pirigyi
B: 1925-12-26
D: 2017-09-09
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Pirigyi, John
Rassean Holloway
B: 1977-10-08
D: 2017-09-08
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Holloway, Rassean
Rozalia Szwaja
B: 1926-05-08
D: 2017-09-07
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Szwaja, Rozalia
Gerald Martin
B: 1939-03-12
D: 2017-09-05
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Martin, Gerald
Philomena Santonastasso
B: 1919-03-13
D: 2017-09-04
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Santonastasso, Philomena
Donald Haviland
B: 1955-09-21
D: 2017-09-03
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Haviland, Donald
Metro Korinchock
B: 1925-10-26
D: 2017-09-02
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Korinchock, Metro
Jamie Edgar
B: 1984-05-25
D: 2017-09-02
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Edgar, Jamie
Joyce Varga
B: 1960-08-12
D: 2017-09-01
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Varga, Joyce
Walter Ostapovich
B: 1925-09-14
D: 2017-08-30
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Ostapovich, Walter
Victoria Perry
B: 1918-11-22
D: 2017-08-30
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Perry, Victoria
Maria Buccellato
B: 1957-06-23
D: 2017-08-29
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Buccellato, Maria

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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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