Obituaries

Barbara Richan
B: 1930-02-04
D: 2017-08-22
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Richan, Barbara
Pasquale Spera
B: 1921-03-27
D: 2017-08-21
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Spera, Pasquale
Grace Canniff
B: 1929-04-15
D: 2017-08-17
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Canniff, Grace
Arthur Lee
B: 1942-08-31
D: 2017-08-08
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Lee, Arthur
Robert Zaino
B: 1956-05-26
D: 2017-08-03
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Zaino, Robert
Rose Fallon
B: 1930-04-17
D: 2017-08-02
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Fallon, Rose
Rose Reggio
B: 1925-09-21
D: 2017-08-01
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Reggio, Rose
Frederick Carlino
B: 1935-12-14
D: 2017-08-01
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Carlino, Frederick
Paul Caruso
B: 1931-12-11
D: 2017-07-27
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Caruso, Paul
Gary Sparks
B: 1949-09-09
D: 2017-07-25
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Sparks, Gary
Concetta Zoffreo
B: 1917-04-01
D: 2017-07-23
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Zoffreo, Concetta
Dorothy Gibson
B: 1923-10-15
D: 2017-07-16
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Gibson, Dorothy
Mary Desmond
B: 1933-11-19
D: 2017-07-13
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Desmond, Mary
Elizabeth Dolan
B: 1936-09-10
D: 2017-07-13
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Dolan, Elizabeth
Sandra Bonanno
B: 1928-03-04
D: 2017-07-12
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Bonanno, Sandra
Deidra Jaworski
D: 2017-07-10
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Jaworski, Deidra
Cynthia DeLeo
B: 1954-12-16
D: 2017-07-09
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DeLeo, Cynthia
Richard Underwood
B: 1935-01-26
D: 2017-07-09
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Underwood, Richard
Robert McIsaac
B: 1960-06-11
D: 2017-07-07
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McIsaac, Robert
Rose Ferguson
B: 1936-01-23
D: 2017-06-30
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Ferguson, Rose
Alfred Provenzano
B: 1926-11-12
D: 2017-06-27
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Provenzano, Alfred

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You can get a head start on the process by completing as much of this online form as possible. We recognize you may not know everything right at this moment, but what you do know will be invaluable to your Funeral Director. Submitting this form will surely expedite the funeral arrangement process.

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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