Obituaries

Timothy Furner
B: 1952-09-16
D: 2020-07-13
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Furner, Timothy
Chester Chase
B: 1938-06-10
D: 2020-07-12
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Chase, Chester
Alice Franks
B: 1917-06-12
D: 2020-07-02
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Franks, Alice
Robert Palmer
B: 1954-08-23
D: 2020-07-01
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Palmer, Robert
Dean Roher
B: 1949-09-24
D: 2020-06-25
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Roher, Dean
William Gallik
B: 1922-03-18
D: 2020-06-23
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Gallik, William
Alicia Brigham
B: 1981-09-15
D: 2020-06-23
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Brigham, Alicia
John Jadwick
B: 1954-08-12
D: 2020-06-22
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Jadwick, John
Barbara Vanderwarker
B: 1945-05-19
D: 2020-06-22
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Vanderwarker, Barbara
Leigh Manley
B: 1938-11-01
D: 2020-06-20
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Manley, Leigh
Asa Morgan
B: 2019-11-01
D: 2020-06-19
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Morgan, Asa
Shelley Wickham
B: 1950-06-29
D: 2020-06-19
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Wickham, Shelley
Raynelle Jones
B: 1960-11-24
D: 2020-06-18
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Jones, Raynelle
Sally Bice
B: 1945-10-20
D: 2020-06-16
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Bice, Sally
Joyce Decker
B: 1929-08-28
D: 2020-06-14
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Decker, Joyce
Ruby Bassett
B: 1934-03-19
D: 2020-06-12
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Bassett, Ruby
Jeramie Yacono
B: 1991-12-29
D: 2020-06-11
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Yacono, Jeramie
Beatrice James
B: 1928-05-18
D: 2020-06-08
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James, Beatrice
Patricia Ostrander
B: 1928-11-29
D: 2020-06-08
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Ostrander, Patricia
Sheila Dresser
B: 1930-04-09
D: 2020-06-07
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Dresser, Sheila
Patricia Lemery
B: 1920-03-17
D: 2020-06-06
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Lemery, Patricia

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Hamilton, NY 13346
Phone: 315-824-2417
Fax: 315-825-3526

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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

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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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