Obituaries

Ludwig Sailer
B: 1940-12-27
D: 2018-01-22
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Sailer, Ludwig
Laura Lemly
B: 1927-03-31
D: 2018-01-21
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Lemly, Laura
Marianne Coston
B: 1933-12-04
D: 2018-01-21
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Coston , Marianne
Edward Andrew Thomas
B: 1937-09-18
D: 2018-01-20
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Thomas, Edward Andrew
Bridget A. Heaney
B: 1918-10-05
D: 2018-01-16
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Heaney, Bridget A.
Thomas A. Gray
B: 1948-11-23
D: 2018-01-14
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Gray, Thomas A.
Marie J. DeRosa
B: 1925-10-31
D: 2018-01-13
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DeRosa, Marie J.
Irvin Eggeling
B: 1922-10-02
D: 2018-01-10
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Eggeling , Irvin
Michael R. Prince
B: 1996-11-09
D: 2018-01-10
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Prince , Michael R.
Paul E. Page
B: 1940-10-18
D: 2017-12-28
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Page , Paul E.
Dominica Papa
B: 1932-12-15
D: 2017-12-25
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Papa , Dominica
Ann Beaton
B: 1935-02-09
D: 2017-12-23
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Beaton, Ann
Christopher Bialek
B: 1944-10-30
D: 2017-12-22
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Bialek, Christopher
Elaine Fenwick
B: 1958-11-13
D: 2017-12-19
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Fenwick , Elaine
Patrick Thomas Dooley
D: 2017-12-17
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Dooley , Patrick Thomas
Karen Arnold
B: 1959-08-11
D: 2017-12-11
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Arnold , Karen
Robert D Oppici
B: 1936-09-19
D: 2017-12-08
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Oppici, Robert D
Alex Eliades
B: 1939-04-07
D: 2017-12-05
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Eliades, Alex
Salvatore LoSauro
B: 1943-03-03
D: 2017-12-03
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LoSauro, Salvatore
Dianne D'Antonio
B: 1957-09-06
D: 2017-11-28
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D'Antonio, Dianne
Harold Schenck
B: 1947-09-27
D: 2017-11-18
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Schenck, Harold

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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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