Obituaries

Vito Cosenza
B: 1932-08-10
D: 2018-10-15
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Cosenza, Vito
Dennis LaFleur
B: 1957-10-18
D: 2018-10-13
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LaFleur, Dennis
John Hamm
B: 1938-05-10
D: 2018-10-12
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Hamm, John
Daniel Watkins
B: 1981-05-21
D: 2018-10-12
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Watkins , Daniel
Edward Slover
B: 1994-06-29
D: 2018-10-12
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Slover, Edward
Lynn Rinker
B: 1957-08-06
D: 2018-10-08
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Rinker, Lynn
Regina Guarraci
B: 1928-03-29
D: 2018-10-07
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Guarraci, Regina
Scott Tomlinson
B: 1968-10-19
D: 2018-10-07
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Tomlinson, Scott
Gloria Pirigyi
B: 1932-05-03
D: 2018-10-06
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Pirigyi, Gloria
Karen Sirois
B: 1949-07-09
D: 2018-10-06
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Sirois, Karen
Kathryn Solomon
B: 1932-07-15
D: 2018-10-04
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Solomon, Kathryn
Dorothea Kane
B: 1943-01-26
D: 2018-10-01
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Kane, Dorothea
Alicia Acosta
B: 1940-12-12
D: 2018-09-30
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Acosta , Alicia
Margaret De Marco
B: 1921-07-13
D: 2018-09-28
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De Marco, Margaret
Norman Matz
B: 1951-11-30
D: 2018-09-27
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Matz, Norman
Walter "Chief" Heda
B: 1946-01-10
D: 2018-09-26
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Heda , Walter "Chief"
Mark Habley
B: 1962-12-18
D: 2018-09-26
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Habley, Mark
Karen Marie Salerno
B: 1965-05-10
D: 2018-09-25
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Salerno , Karen Marie
Dorothy Mazzetta
B: 1928-07-23
D: 2018-09-24
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Mazzetta , Dorothy
Marie Bolton
B: 1938-04-20
D: 2018-09-23
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Bolton , Marie
Jessica Baker
B: 1982-08-06
D: 2018-09-23
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Baker, Jessica

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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
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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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