Obituaries

David Wheaton
B: 1949-09-02
D: 2018-10-16
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Wheaton, David
Maureen Teichmann
B: 1955-08-29
D: 2018-10-11
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Teichmann, Maureen
Franciska Ferko
B: 1926-07-07
D: 2018-10-14
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Ferko, Franciska
David Mahler
B: 1948-02-14
D: 2018-10-12
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Mahler, David
Frances Duffy
B: 1934-01-29
D: 2018-10-14
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Duffy, Frances
Roque Acosta
B: 1944-01-14
D: 2018-09-24
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Acosta, Roque
Paul Fitzpatrick
B: 1964-03-04
D: 2018-10-06
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Fitzpatrick, Paul
Elizabeth Dal Bello
B: 1948-01-30
D: 2018-10-05
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Dal Bello, Elizabeth
Nicola Scarpetta
B: 1931-04-19
D: 2018-10-03
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Scarpetta, Nicola
Sr. Caroline Straus
B: 1927-02-25
D: 2018-09-28
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Straus, Sr. Caroline
William Kinrade
B: 1932-12-29
D: 2018-09-30
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Kinrade , William
Sr. Rita Kittel
B: 1911-10-01
D: 2018-09-25
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Kittel, Sr. Rita
Rigo Von Appen
B: 1930-11-19
D: 2018-09-16
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Von Appen, Rigo
Teodoro Licursi
B: 1924-11-25
D: 2018-09-12
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Licursi, Teodoro
Paul Burt
B: 1944-01-19
D: 2018-09-06
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Burt, Paul
Annie Petrus
B: 1928-08-06
D: 2018-09-09
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Petrus, Annie
Richard Bayards
B: 1930-12-07
D: 2018-09-10
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Bayards, Richard
Andrew Ivol
B: 1974-04-12
D: 2018-08-31
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Ivol, Andrew
Rachel Tough
B: 1922-05-19
D: 2018-08-29
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Tough, Rachel
Carmela Rubini
B: 1936-02-19
D: 2018-08-26
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Rubini, Carmela
Monsignor Peter Coughlin
B: 1941-10-11
D: 2018-08-25
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Coughlin, Monsignor Peter

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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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