Obituaries

Lauren Mazar
B: 1955-02-01
D: 2018-05-21
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Mazar, Lauren
William Hiner
B: 1931-07-13
D: 2018-05-17
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Hiner, William
William Fisher
B: 1926-04-13
D: 2018-05-10
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Fisher, William
Patricia Ross
B: 1925-12-29
D: 2018-05-07
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Ross, Patricia
James Black
B: 1955-06-21
D: 2018-05-01
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Black, James
Thomas Whitfield
B: 1931-10-17
D: 2018-04-30
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Whitfield, Thomas
Clarence Edwards
B: 1918-07-06
D: 2018-04-30
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Edwards, Clarence
Ruth Birkenhead
B: 1919-01-05
D: 2018-04-29
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Birkenhead, Ruth
Lorraine Lindeman
B: 1945-08-15
D: 2018-04-27
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Lindeman, Lorraine
Judith Smith
B: 1935-11-02
D: 2018-04-26
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Smith, Judith
James Davis
B: 1948-05-04
D: 2018-04-18
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Davis, James
Joseph Thirion
D: 2018-04-18
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Thirion, Joseph
Robert Davis
B: 1921-04-25
D: 2018-04-15
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Davis, Robert
Leroy Cline
B: 1914-09-01
D: 2018-04-15
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Cline, Leroy
Iris Eggers
B: 1930-12-12
D: 2018-04-13
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Eggers, Iris
William Penn
B: 1929-02-07
D: 2018-04-13
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Penn, William
George Fish
B: 1941-11-14
D: 2018-04-08
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Fish, George
Betty Wingfield
B: 1935-09-02
D: 2018-04-02
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Wingfield, Betty
Patricia Corradi
B: 1930-02-02
D: 2018-04-02
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Corradi, Patricia
Alice Alexander
B: 1928-03-06
D: 2018-03-29
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Alexander, Alice
Dorothy Bathurst
B: 1927-03-24
D: 2018-03-27
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Bathurst, Dorothy

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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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