Obituaries

Peggy Lawson
B: 1944-03-29
D: 2019-08-09
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Lawson, Peggy
Patricia Reynolds
B: 1936-08-14
D: 2019-08-09
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Reynolds, Patricia
Donna Maroney
B: 1943-04-08
D: 2019-08-07
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Maroney, Donna
Michael Ziegler
B: 1951-06-20
D: 2019-08-07
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Ziegler, Michael
Henry Rann
B: 1947-03-03
D: 2019-08-05
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Rann, Henry
Dennis Callahan
B: 1938-03-09
D: 2019-08-05
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Callahan, Dennis
Alan Wojciechowicz
B: 1956-04-26
D: 2019-08-01
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Wojciechowicz, Alan
Brendan Vana
B: 1942-09-01
D: 2019-08-01
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Vana, Brendan
Andrew Pechatsko
B: 1935-12-01
D: 2019-07-31
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Pechatsko , Andrew
Ronald Czajkowski
B: 1943-04-06
D: 2019-07-31
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Czajkowski, Ronald
Hugh Gorman
B: 1925-05-22
D: 2019-07-29
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Gorman, Hugh
Arlene Wagemaker
B: 1937-11-29
D: 2019-07-29
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Wagemaker, Arlene
Michael Luther
B: 1958-06-06
D: 2019-07-29
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Luther, Michael
Marie Johanek
B: 1960-02-07
D: 2019-07-28
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Johanek, Marie
Marjory Slater
B: 1930-10-28
D: 2019-07-23
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Slater, Marjory
Ralph Houchin
B: 1967-12-24
D: 2019-07-23
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Houchin, Ralph
Harry Fairman
B: 1927-11-02
D: 2019-07-22
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Fairman, Harry
Dorothy Comella
B: 1932-11-06
D: 2019-07-21
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Comella, Dorothy
Dorothy Ryan
B: 1932-04-29
D: 2019-07-18
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Ryan, Dorothy
Eleanore O'Donnell
B: 1931-06-26
D: 2019-07-18
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O'Donnell, Eleanore
Louise Darasko
B: 1927-04-09
D: 2019-07-18
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Darasko, Louise

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38001 Euclid Ave
Willoughby, OH 44094
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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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
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:
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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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