Obituaries

William Freitag
B: 1934-04-05
D: 2017-12-13
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Freitag, William
Carol Harmon
B: 1938-12-25
D: 2017-12-12
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Harmon, Carol
Peter Mathews
B: 1954-01-19
D: 2017-12-11
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Mathews, Peter
Daniel Eckart
B: 1932-01-20
D: 2017-12-11
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Eckart, Daniel
Donald Davies
B: 1930-03-18
D: 2017-12-10
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Davies, Donald
Paul Blaha
B: 1932-06-30
D: 2017-12-08
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Blaha, Paul
Margery Willis
B: 1923-04-07
D: 2017-12-05
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Willis, Margery
Ronald Niemczura
B: 1960-07-29
D: 2017-12-05
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Niemczura, Ronald
John Juratovac
B: 1953-08-08
D: 2017-12-05
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Juratovac, John
Laura Hulsman
B: 1921-10-17
D: 2017-12-03
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Hulsman, Laura
Betty Long
B: 1931-09-26
D: 2017-11-30
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Long, Betty
David Hogg
B: 1924-04-22
D: 2017-11-26
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Hogg, David
Richard Snyder
B: 1937-12-12
D: 2017-11-24
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Snyder, Richard
John Dudek
B: 1929-06-16
D: 2017-11-24
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Dudek, John
Catherine Riisness
B: 1919-03-15
D: 2017-11-13
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Riisness, Catherine
Darrell Mason
B: 1956-11-01
D: 2017-11-11
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Mason, Darrell
Jeffrey McKee
B: 1951-01-28
D: 2017-11-10
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McKee, Jeffrey
Eleanor Wiley
B: 1926-08-05
D: 2017-11-09
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Wiley, Eleanor
George Dougherty
B: 1928-09-26
D: 2017-11-07
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Dougherty, George
William Nuzum
B: 1935-04-10
D: 2017-11-07
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Nuzum, William
Janet Clark
B: 1924-12-21
D: 2017-10-31
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Clark, Janet

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Willoughby, OH 44094
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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:

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