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Obituaries

William Hilton
B: 1942-11-11
D: 2020-08-26
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Hilton, William
Mildred Malcom
B: 1923-09-06
D: 2020-08-04
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Malcom, Mildred
Ima Johnson
B: 1934-09-01
D: 2020-08-04
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Johnson, Ima
Patricia McQuinn
B: 1950-10-26
D: 2020-08-03
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McQuinn, Patricia
Jeffrey Lugibill
B: 1960-11-30
D: 2020-08-03
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Lugibill, Jeffrey
Ann Hunter
B: 1925-08-29
D: 2020-08-01
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Hunter, Ann
Frederick Foust
B: 1941-02-19
D: 2020-08-01
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Foust, Frederick
Mary Wahlstrom
B: 1947-07-11
D: 2020-07-31
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Wahlstrom, Mary
James Huntzinger
B: 1938-07-17
D: 2020-07-31
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Huntzinger, James
Charles Stone
B: 1960-08-31
D: 2020-07-31
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Stone, Charles
Betty Everage
B: 1943-05-13
D: 2020-07-30
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Everage, Betty
John Adams
B: 1955-11-15
D: 2020-07-30
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Adams, John
Miriam DuBose
B: 1942-02-17
D: 2020-07-29
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DuBose, Miriam
Russell Collins
B: 1930-12-01
D: 2020-07-29
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Collins, Russell
Nancy Mahan
B: 1938-11-27
D: 2020-07-29
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Mahan, Nancy
Alfred Day
B: 1946-07-03
D: 2020-07-29
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Day, Alfred
John Cervice
B: 1944-12-11
D: 2020-07-29
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Cervice, John
Louis Schiano
B: 1933-08-24
D: 2020-07-28
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Schiano, Louis
Nicolyn Hayman
B: 1947-11-03
D: 2020-07-28
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Hayman, Nicolyn
Thomas Lally
B: 1927-03-10
D: 2020-07-28
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Lally, Thomas
Betty Wallace
B: 1935-10-31
D: 2020-07-28
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Wallace, Betty

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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:
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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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