Obituaries

Anna Thurman
B: 1934-07-25
D: 2019-02-18
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Thurman, Anna
Ronald Cerutti
B: 1948-03-08
D: 2019-02-17
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Cerutti, Ronald
Colleen Thomson
B: 1955-02-02
D: 2019-02-17
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Thomson, Colleen
John Jordan
D: 2019-02-15
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Jordan, John
Gregory Bench
B: 1962-05-23
D: 2019-02-14
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Bench, Gregory
Richard Salcer
B: 1933-04-04
D: 2019-02-13
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Salcer, Richard
Susan Layman
B: 1947-04-05
D: 2019-02-11
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Layman, Susan
Cynthia Murphy
B: 1938-10-31
D: 2019-02-11
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Murphy, Cynthia
Maria Ryan
B: 1930-04-08
D: 2019-02-08
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Ryan, Maria
Thomas Ross
B: 1946-12-31
D: 2019-02-07
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Ross, Thomas
Gary Wigand
B: 1950-07-15
D: 2019-02-07
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Wigand, Gary
Wayne Remner
B: 1947-03-14
D: 2019-02-06
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Remner, Wayne
Irene Kurz
B: 1927-05-28
D: 2019-02-05
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Kurz, Irene
Rosemary Wissman
B: 1938-04-18
D: 2019-02-02
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Wissman, Rosemary
Valeria Shisila
D: 2019-02-01
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Shisila, Valeria
Albert Covelli
B: 1928-03-25
D: 2019-01-31
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Covelli, Albert
Carl Nagy
B: 1940-05-16
D: 2019-01-31
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Nagy, Carl
Harry Burkholder
B: 1949-03-18
D: 2019-01-31
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Burkholder, Harry
Charles Mormino
B: 1946-09-08
D: 2019-01-29
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Mormino, Charles
Elizabeth Lauver
B: 1939-09-04
D: 2019-01-28
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Lauver, Elizabeth
Jeffrey London
B: 1964-06-15
D: 2019-01-27
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London, Jeffrey

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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:
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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