Obituaries

Richard Modzelewski
B: 1931-02-16
D: 2018-10-19
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Modzelewski, Richard
Phyllis Kendzierski
B: 1924-05-29
D: 2018-10-19
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Kendzierski, Phyllis
Thomas Burke
B: 1950-12-01
D: 2018-10-19
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Burke, Thomas
Marilyn Church
B: 1924-04-18
D: 2018-10-17
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Church, Marilyn
Marilyn Barber
B: 1931-06-19
D: 2018-10-17
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Barber, Marilyn
Alojs Brezavscek
B: 1932-07-07
D: 2018-10-16
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Brezavscek, Alojs
Mary Arndt
B: 1921-12-10
D: 2018-10-14
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Arndt, Mary
Ellen Stamberger
B: 1939-01-20
D: 2018-10-14
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Stamberger, Ellen
William Flynn
B: 1934-09-21
D: 2018-10-13
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Flynn, William
Barry Speirs
B: 1938-04-15
D: 2018-10-12
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Speirs, Barry
Kenneth Strasser
B: 1941-11-11
D: 2018-10-12
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Strasser, Kenneth
James Plescia
B: 1947-08-11
D: 2018-10-12
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Plescia, James
Mary Steigerwald
B: 1929-05-04
D: 2018-10-10
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Steigerwald, Mary
Vincent Zambataro
B: 1922-04-03
D: 2018-10-09
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Zambataro, Vincent
Patricia McDuffy
B: 1957-06-05
D: 2018-10-07
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McDuffy, Patricia
William Green
B: 1933-04-23
D: 2018-10-06
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Green, William
Edward Brennan
B: 1932-01-05
D: 2018-10-06
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Brennan, Edward
Marjorie Nightengale
B: 1938-07-14
D: 2018-10-06
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Nightengale, Marjorie
Kenneth Murray
B: 1932-09-19
D: 2018-10-05
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Murray, Kenneth
Melissa Gernhard
B: 1951-10-08
D: 2018-10-04
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Gernhard, Melissa
James Barber
B: 1951-05-28
D: 2018-10-04
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Barber, James

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38001 Euclid Ave., Willoughby, OH 44094
6330 Center St., Mentor
, OH 44060
Phone: (440) 942-0700
Fax: (440) 942-4823

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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:
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Highest Education Level:
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Residence History:
Father's Name:
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Mother's Name:
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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:
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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:
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The cemetery property is in the name of:

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