Obituaries

Santo Cirinna
B: 1924-04-15
D: 2017-05-17
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Cirinna, Santo
Richard Bifolck
B: 1937-12-16
D: 2017-05-16
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Bifolck, Richard
Dinoria Coelho
B: 1943-04-09
D: 2017-05-08
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Coelho, Dinoria
Paul Carver
B: 1928-05-10
D: 2017-04-30
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Carver, Paul
Amilcar Ferreira
B: 1938-08-23
D: 2017-04-27
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Ferreira, Amilcar
Sr. Mary Etta Higgins
B: 1940-10-20
D: 2017-04-24
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Higgins, Sr. Mary Etta
Rev. Louis Chow
B: 1932-05-20
D: 2017-04-23
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Chow, Rev. Louis
Irene Schaschl
B: 1923-04-03
D: 2017-04-23
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Schaschl, Irene
John Scully
B: 1955-03-25
D: 2017-04-22
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Scully, John
Richard Langan
B: 1925-10-31
D: 2017-04-19
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Langan, Richard
Jorge Graca
B: 1943-03-05
D: 2017-04-14
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Graca, Jorge
John Quinn
B: 1924-06-27
D: 2017-04-09
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Quinn, John
Joesph Sousa
B: 1958-03-13
D: 2017-04-08
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Sousa, Joesph
Catherine Knoegel
B: 1927-04-27
D: 2017-04-08
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Knoegel, Catherine
Helen Griffin
B: 1918-01-17
D: 2017-04-07
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Griffin, Helen
Lourenco Inho
B: 1934-12-29
D: 2017-04-07
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Inho, Lourenco
Maria Mendes
B: 1915-02-15
D: 2017-04-02
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Mendes, Maria
Jorge Marques
B: 1960-07-30
D: 2017-04-02
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Marques, Jorge
David Swicker
B: 1923-10-21
D: 2017-03-29
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Swicker, David
Dorothy Perzan
B: 1925-12-12
D: 2017-03-29
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Perzan, Dorothy
Edward Jurgelas
B: 1955-01-17
D: 2017-03-26
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Jurgelas, Edward

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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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