Obituaries

Donald Zimmerman
B: 1922-12-19
D: 2018-08-04
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Zimmerman, Donald
Michael Russo
B: 1925-05-03
D: 2018-08-04
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Russo, Michael
Jason Walker
B: 1987-02-28
D: 2018-08-04
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Walker, Jason
Sr. Anna Bauerlin, OSF
B: 1925-05-03
D: 2018-07-24
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Bauerlin, OSF, Sr. Anna
Charles Dougherty
B: 1944-02-14
D: 2018-07-21
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Dougherty, Charles
William Burke
B: 1952-03-05
D: 2018-07-21
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Burke, William
Eleanor Collins
B: 1939-08-11
D: 2018-07-21
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Collins, Eleanor
Ron Simmins
B: 1980-09-07
D: 2018-07-21
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Simmins, Ron
Brian Kent
B: 1979-02-02
D: 2018-07-20
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Kent, Brian
Mary Kent
B: 1948-09-06
D: 2018-07-16
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Kent, Mary
Michael McGarvey
B: 1969-12-30
D: 2018-07-15
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McGarvey, Michael
Barbara Guzek
B: 1943-03-09
D: 2018-07-09
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Guzek, Barbara
Catherine Brodeur
B: 1925-07-18
D: 2018-07-07
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Brodeur, Catherine
Paul LaFrance
B: 1936-07-28
D: 2018-07-05
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LaFrance, Paul
David Hanly
B: 1933-05-06
D: 2018-07-02
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Hanly, David
Jennifer Dinnella
B: 1978-11-15
D: 2018-06-27
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Dinnella, Jennifer
Dorothy Daniels
B: 1920-11-23
D: 2018-06-24
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Daniels, Dorothy
Sandra Scott
B: 1947-10-28
D: 2018-06-21
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Scott, Sandra
Richard Falcone
B: 1942-07-14
D: 2018-06-21
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Falcone, Richard
Steven Frame
B: 1964-03-08
D: 2018-06-18
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Frame, Steven
Charles Ryder
B: 1950-11-26
D: 2018-06-15
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Ryder, Charles

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Phone: 610-583-4400
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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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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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