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Obituaries

Avonelle Holland
D: 2017-06-26
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Holland, Avonelle
Diane Martin
B: 1948-05-24
D: 2017-06-23
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Martin, Diane
Daniel Shaffer
B: 1984-01-03
D: 2017-06-22
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Shaffer, Daniel
Brenda Crawford
B: 1943-01-17
D: 2017-06-19
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Crawford, Brenda
Larry Morr
B: 1941-11-25
D: 2017-06-18
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Morr, Larry
Mary Young
B: 1921-07-22
D: 2017-06-17
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Young, Mary
Rodney Sparks
B: 1957-03-08
D: 2017-06-16
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Sparks, Rodney
James Moser
B: 1954-01-13
D: 2017-06-04
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Moser, James
Dorothea Hinkel
B: 1942-01-24
D: 2017-05-31
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Hinkel, Dorothea
Denise Haun
B: 1967-03-02
D: 2017-05-27
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Haun, Denise
Elvera Maguire
B: 1922-08-04
D: 2017-05-22
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Maguire, Elvera
Frank Yoho
B: 1928-03-08
D: 2017-05-20
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Yoho, Frank
Nicholas Denman
B: 1946-01-27
D: 2017-05-13
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Denman, Nicholas
Duane Princehorn
B: 1934-11-29
D: 2017-05-05
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Princehorn, Duane
Jerry Bosnak
D: 2017-04-20
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Bosnak, Jerry
Frederick Albright
D: 2017-04-19
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Albright, Frederick
Joe Graser
B: 1952-05-17
D: 2017-04-07
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Graser, Joe
Dorothy Arevalo
B: 1934-12-04
D: 2017-03-14
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Arevalo, Dorothy
William Young
B: 1934-06-06
D: 2017-03-14
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Young, William
Bill Starling
B: 1953-09-19
D: 2017-03-12
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Starling, Bill
Vina Mullins
B: 1939-06-16
D: 2017-03-08
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Mullins, Vina

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Wooster, OH 44691
Phone: (330) 264.7776
Fax: (330) 264.0283

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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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