Obituaries

Eleanor Lech
B: 1945-10-13
D: 2019-06-29
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Lech, Eleanor
Arthur Malagoli
B: 1973-05-07
D: 2019-06-28
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Malagoli, Arthur
Jean Lindenberger
B: 1944-05-22
D: 2019-06-28
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Lindenberger, Jean
Vincent Calyer
B: 1945-01-13
D: 2019-06-23
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Calyer, Vincent
William Vacek
B: 1954-07-12
D: 2019-06-23
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Vacek, William
Cheryll Farella
B: 1949-03-13
D: 2019-06-17
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Farella, Cheryll
Katherine Matthews
B: 1945-11-04
D: 2019-06-13
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Matthews, Katherine
Ian Sousa
B: 1943-06-19
D: 2019-06-02
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Sousa, Ian
Mark Parisi
B: 1956-01-29
D: 2019-06-02
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Parisi, Mark
Helen Murphy
B: 1911-01-31
D: 2019-05-27
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Murphy, Helen
Joan Hulse
B: 1928-09-17
D: 2019-05-22
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Hulse, Joan
Henry Wood
B: 1954-06-18
D: 2019-05-11
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Wood, Henry
Robert Walker
B: 1947-01-25
D: 2019-05-10
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Walker, Robert
Ann Hemminger
B: 1938-07-02
D: 2019-05-04
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Hemminger, Ann
Clara Walsh
B: 1928-12-16
D: 2019-04-30
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Walsh, Clara
William Horneman
B: 1934-12-12
D: 2019-04-29
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Horneman, William
David Worden
B: 1928-11-15
D: 2019-04-27
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Worden, David
C. Joan Watson
B: 1935-03-26
D: 2019-04-05
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Watson, C. Joan
Susan Voge
B: 1948-10-15
D: 2019-04-04
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Voge, Susan
Lorraine Annan
B: 1927-12-21
D: 2019-04-04
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Annan, Lorraine
Providencia Fernandez Cordero
B: 1927-07-02
D: 2019-04-02
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Fernandez Cordero, Providencia

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Cornwall-On-Hudson, NY 12520
Phone: 845-534-9424
Fax: 845-534-9870

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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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