Obituaries

Robert Sobkowicz
B: 1936-09-14
D: 2019-05-09
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Sobkowicz, Robert
Raymond Cichy
B: 1943-06-18
D: 2019-04-29
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Cichy, Raymond
Mary Vidulich
B: 1945-05-15
D: 2019-04-18
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Vidulich, Mary
Graden Murphy
B: 1936-09-13
D: 2019-04-10
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Murphy, Graden
Elizabeth Velz
B: 1928-05-20
D: 2019-04-08
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Velz, Elizabeth
Carmela Ruggeri
B: 1921-08-30
D: 2019-04-05
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Ruggeri, Carmela
Roberta Miller
B: 1954-03-09
D: 2019-03-26
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Miller, Roberta
Isabel Novak
B: 1924-09-28
D: 2019-03-22
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Novak, Isabel
Joseph Riley
B: 1952-09-16
D: 2019-03-21
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Riley, Joseph
Judith Ramirez
B: 1942-02-03
D: 2019-03-19
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Ramirez, Judith
Norman Clemons
B: 1938-08-24
D: 2019-03-14
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Clemons, Norman
Marion Bienick
B: 1934-10-03
D: 2019-03-06
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Bienick, Marion
Shirley Evans
B: 1933-03-02
D: 2019-02-28
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Evans, Shirley
Mark Alexander
B: 1947-10-22
D: 2019-02-25
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Alexander, Mark
Honorable Gene Catena
B: 1930-03-29
D: 2019-02-24
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Catena, Honorable Gene
Joseph Montesano
B: 1953-08-23
D: 2019-02-23
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Montesano, Joseph
Elena Damasco
B: 1931-12-12
D: 2019-02-20
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Damasco, Elena
Bruno Cwiakala
B: 1929-01-07
D: 2019-02-20
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Cwiakala, Bruno
Alta Lysohir
B: 1919-08-23
D: 2019-02-16
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Lysohir, Alta
Anthony Sorbero
B: 1924-11-30
D: 2019-02-13
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Sorbero, Anthony
Leverna Saltsman
B: 1930-01-08
D: 2019-02-04
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Saltsman, Leverna

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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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