Obituaries

Donald Cardarelle
B: 1931-12-27
D: 2017-11-22
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Cardarelle, Donald
Lloyd Bassindale
B: 1933-01-28
D: 2017-11-19
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Bassindale, Lloyd
Donald Zaskowski
B: 1949-11-02
D: 2017-11-16
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Zaskowski, Donald
Michael Schroepfer
B: 1957-10-31
D: 2017-11-11
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Schroepfer, Michael
Richard Kunkel
B: 1935-03-05
D: 2017-11-06
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Kunkel, Richard
Miguel DeLeon
B: 1942-08-31
D: 2017-11-06
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DeLeon, Miguel
Alice Koepke
B: 1925-07-13
D: 2017-11-04
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Koepke, Alice
Kathleen Lehto
B: 1935-06-20
D: 2017-11-03
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Lehto, Kathleen
Donald Niese
B: 1934-02-24
D: 2017-11-03
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Niese, Donald
Robert Haessler
B: 1950-02-02
D: 2017-11-02
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Haessler, Robert
Emma Richie
D: 2017-10-31
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Richie, Emma
Phyllis Budiac
B: 1931-01-25
D: 2017-10-30
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Budiac, Phyllis
Donald Karius
B: 1927-10-15
D: 2017-10-30
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Karius, Donald
Glendon Trigg
B: 1949-06-11
D: 2017-10-29
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Trigg, Glendon
Jason Scherr
B: 1979-11-23
D: 2017-10-29
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Scherr, Jason
Mark Pucher Jr.
D: 2017-10-29
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Pucher Jr., Mark
Gerald Zitzelberger
B: 1928-04-01
D: 2017-10-26
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Zitzelberger, Gerald
David Watson
B: 1965-05-11
D: 2017-10-26
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Watson, David
Paul Fischer
B: 1946-05-27
D: 2017-10-24
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Fischer, Paul
Paul Sikorski
B: 1959-10-28
D: 2017-10-22
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Sikorski, Paul
Mildred Walloch
B: 1924-08-12
D: 2017-10-20
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Walloch, Mildred

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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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