Obituaries

Pamela Barker
B: 1957-12-12
D: 2018-12-09
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Barker, Pamela
Gerald Young
B: 1932-08-31
D: 2018-12-08
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Young, Gerald
Maxine Chapman
B: 1925-02-10
D: 2018-11-25
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Chapman, Maxine
Adam Smail
B: 1972-04-30
D: 2018-11-24
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Smail, Adam
May Vogler
B: 1936-12-11
D: 2018-11-05
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Vogler, May
Carol Overfield
B: 1963-04-13
D: 2018-11-02
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Overfield, Carol
Alnora O'Hara McFadden
B: 1923-05-30
D: 2018-11-01
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O'Hara McFadden, Alnora
Kevin Smail
B: 1964-10-05
D: 2018-11-01
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Smail, Kevin
Kevin Smail
B: 1964-10-05
D: 2018-11-01
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Smail, Kevin
James Kirk
B: 1956-07-26
D: 2018-10-21
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Kirk, James
Arwood Webb
B: 1921-03-18
D: 2018-10-14
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Webb, Arwood
Norma Weese
B: 1935-03-11
D: 2018-10-11
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Weese, Norma
David Boley
B: 1957-08-29
D: 2018-10-06
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Boley, David
William Voliotes
B: 1928-03-23
D: 2018-10-02
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Voliotes, William
Miriam Geib
B: 1933-11-30
D: 2018-09-29
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Geib, Miriam
Robert Boyes
B: 1946-04-04
D: 2018-09-25
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Boyes, Robert
Tommy Scott
B: 1939-03-27
D: 2018-09-24
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Scott, Tommy
V. Boreman
B: 1932-06-24
D: 2018-09-23
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Boreman, V.
Freda McCord
B: 1946-12-29
D: 2018-09-10
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McCord, Freda
Danny Merckle
B: 1954-04-13
D: 2018-09-06
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Merckle, Danny
Beatrice Grebus
B: 1939-07-07
D: 2018-08-26
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Grebus, Beatrice

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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:

Miscellaneous Notes and Instructions:

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