Obituaries

William DeRose
B: 1923-06-26
D: 2017-07-25
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DeRose, William
Nicola Del Vecchio
B: 1928-03-05
D: 2017-07-25
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Del Vecchio, Nicola
Sergio Rodriguez
B: 1968-07-26
D: 2017-07-23
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Rodriguez, Sergio
Julia Gajarsky
B: 1920-10-19
D: 2017-07-23
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Gajarsky, Julia
Margaret Rafferty
B: 1917-10-19
D: 2017-07-22
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Rafferty, Margaret
Walter Stayvas
B: 1950-01-26
D: 2017-07-21
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Stayvas, Walter
William Zimmerman
B: 1915-03-07
D: 2017-07-20
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Zimmerman, William
Robert Blomquist
D: 2017-07-20
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Blomquist, Robert
Muriel Brier
B: 1930-04-13
D: 2017-07-20
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Brier, Muriel
Julia (Urban) Forte
B: 1956-02-12
D: 2017-07-20
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(Urban) Forte, Julia
Paul Batsarika
B: 1947-12-15
D: 2017-07-19
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Batsarika, Paul
Agnes Sperduto
B: 1930-04-14
D: 2017-07-19
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Sperduto, Agnes
Pacifico Quilal-lan
B: 1937-06-23
D: 2017-07-17
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Quilal-lan, Pacifico
Anthony Truono
B: 1933-05-01
D: 2017-07-15
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Truono, Anthony
William Moyle
B: 1944-01-14
D: 2017-07-13
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Moyle, William
Michael Pancza
B: 1923-06-21
D: 2017-07-11
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Pancza, Michael
Maria Lomba
B: 1915-03-11
D: 2017-07-10
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Lomba, Maria
Esther Sivulich
B: 1932-07-10
D: 2017-07-10
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Sivulich , Esther
Atsuko Ginter
B: 1934-02-06
D: 2017-07-08
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Ginter, Atsuko
Jean Curcio
B: 1924-01-18
D: 2017-07-08
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Curcio, Jean
Betty Jane Tingley
B: 1927-07-10
D: 2017-07-05
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Tingley, Betty Jane

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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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