Obituaries

Teresa Imperiale
B: 1937-12-29
D: 2017-12-13
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Imperiale, Teresa
Barbara Mickulas
B: 1939-08-24
D: 2017-12-13
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Mickulas, Barbara
Mary Todaro
B: 1926-07-15
D: 2017-12-11
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Todaro, Mary
Irene Tursi
B: 1923-01-10
D: 2017-12-09
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Tursi, Irene
Patiah Kanhye
B: 1931-02-26
D: 2017-12-09
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Kanhye, Patiah
Jeanne Evans
B: 1952-01-05
D: 2017-12-09
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Evans, Jeanne
Jose Perlaza
B: 1924-09-14
D: 2017-12-09
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Perlaza, Jose
Chowkidatt Tulsie
B: 1958-11-24
D: 2017-12-07
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Tulsie, Chowkidatt
Eliseo Figueroa
B: 1931-06-14
D: 2017-12-07
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Figueroa, Eliseo
Martin Wilczynski
B: 1940-09-11
D: 2017-12-06
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Wilczynski, Martin
Roopwatie Hiraman
B: 1951-04-02
D: 2017-12-05
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Hiraman, Roopwatie
Kathleen Bergleitner
B: 1936-07-10
D: 2017-12-05
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Bergleitner, Kathleen
Kallawatee Sooknanan
B: 1937-11-19
D: 2017-12-03
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Sooknanan, Kallawatee
Carmen Martinez
B: 1933-08-07
D: 2017-12-01
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Martinez, Carmen
Odilia Cabrejos
B: 1920-09-01
D: 2017-11-29
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Cabrejos, Odilia
Lorraine Sciulli
B: 1934-12-24
D: 2017-11-29
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Sciulli, Lorraine
Albert Virbukas
B: 1944-07-29
D: 2017-11-27
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Virbukas, Albert
Evelyn Dell'Accio
B: 1948-08-25
D: 2017-11-26
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Dell'Accio, Evelyn
Evelyn Mitchell
B: 1925-04-23
D: 2017-11-26
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Mitchell, Evelyn
Chris Vinci
B: 1945-02-08
D: 2017-11-25
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Vinci, Chris
Ruth Joyce
B: 1925-01-23
D: 2017-11-25
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Joyce, Ruth

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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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