Obituaries

Scott Smetanka
B: 1962-07-04
D: 2022-06-02
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Smetanka, Scott
Robert Gould
B: 1962-07-06
D: 2022-05-25
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Gould, Robert
Amada Gonzalez
B: 1946-11-21
D: 2022-05-21
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Gonzalez, Amada
Charlene Parrow
B: 1927-07-12
D: 2022-05-18
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Parrow, Charlene
Timothy Brautigan
B: 1961-01-06
D: 2022-05-17
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Brautigan, Timothy
Arthur Butts
B: 1929-03-01
D: 2022-05-17
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Butts, Arthur
Anne Kopko
B: 1923-02-03
D: 2022-05-17
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Kopko, Anne
Harold Forrest
B: 1929-10-09
D: 2022-05-14
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Forrest, Harold
Tammy Mazariegos
B: 1980-09-17
D: 2022-05-14
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Mazariegos, Tammy
Marjorie Heywood
B: 1937-04-29
D: 2022-05-10
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Heywood, Marjorie
Crystal Bump
B: 1927-06-25
D: 2022-05-08
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Bump, Crystal
Mary Ann Parlo
B: 1944-01-09
D: 2022-05-06
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Parlo, Mary Ann
Gregory Roberson
B: 1953-01-15
D: 2022-04-24
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Roberson, Gregory
James Theopheles
B: 1929-09-20
D: 2022-04-23
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Theopheles, James
William Kaner
B: 1967-06-11
D: 2022-04-22
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Kaner, William
Paul Morss
B: 1931-01-08
D: 2022-04-20
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Morss, Paul
John Cadek
B: 1949-04-12
D: 2022-04-12
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Cadek, John
Charles Knapp
B: 1948-02-18
D: 2022-04-08
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Knapp, Charles
Richard Frycek
B: 1942-02-22
D: 2022-04-06
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Frycek, Richard
Lester Hartman
B: 1939-10-30
D: 2022-04-03
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Hartman, Lester
Richard Van Horn
B: 1945-05-15
D: 2022-03-27
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Van Horn, Richard

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Horseheads, NY 14845
Phone: (607) 739-2035
Fax: 607-739-2148

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
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Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
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Residence History:
Father's Name:
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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:
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II. Military Record

Veteran:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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