Obituaries

Rosemary Quackenbush
B: 1942-04-19
D: 2018-08-14
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Quackenbush, Rosemary
Timothy Devine
B: 1949-02-04
D: 2018-08-10
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Devine, Timothy
Lewis Morgan
B: 1937-12-16
D: 2018-07-31
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Morgan, Lewis
Gloria Carr
B: 1951-05-16
D: 2018-07-25
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Carr, Gloria
Karl Davis
B: 1956-04-07
D: 2018-07-25
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Davis, Karl
Donald Stetson
B: 1944-12-19
D: 2018-07-24
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Stetson, Donald
Wayne Conklin
B: 1955-05-10
D: 2018-07-19
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Conklin, Wayne
H. Brian Holt
B: 1944-03-09
D: 2018-07-18
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Holt, H. Brian
Frances Conti
B: 1929-09-06
D: 2018-07-16
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Conti, Frances
Marcia Sitts
B: 1939-08-03
D: 2018-07-15
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Sitts, Marcia
Helen Nower
B: 1919-11-27
D: 2018-07-14
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Nower, Helen
Johnathan Beach
B: 2001-08-23
D: 2018-07-14
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Beach, Johnathan
Charles Crandall
B: 1928-07-23
D: 2018-07-13
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Crandall, Charles
James Card
B: 1965-03-05
D: 2018-07-11
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Card, James
Deborah Shay
B: 1956-02-26
D: 2018-07-10
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Shay, Deborah
Jeanette Doyle
B: 1927-04-05
D: 2018-07-10
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Doyle, Jeanette
Kaden Eckrich
B: 2006-02-28
D: 2018-07-09
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Eckrich, Kaden
Charles Gorton
B: 1930-06-12
D: 2018-07-07
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Gorton, Charles
Gloria Ray
B: 1947-02-19
D: 2018-07-01
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Ray, Gloria
Ellis Rowland
B: 1935-07-10
D: 2018-07-01
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Rowland, Ellis
Richard Garrett
B: 1950-03-29
D: 2018-06-30
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Garrett, Richard

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Phone: 315-824-2417
Fax: 315-825-3526

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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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