Obituaries

Reginald Lavong
B: 1933-04-05
D: 2017-09-19
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Lavong, Reginald
Greg Poper
B: 1978-06-30
D: 2017-09-18
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Poper, Greg
Mark Estep
B: 1960-03-20
D: 2017-09-14
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Estep, Mark
Margaret Benton
B: 1926-05-16
D: 2017-08-31
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Benton, Margaret
Elizabeth Williams
B: 1919-07-21
D: 2017-08-29
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Williams, Elizabeth
Claire Boettcher
B: 1930-01-16
D: 2017-08-26
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Boettcher, Claire
Harold Burgis
B: 1922-02-21
D: 2017-08-25
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Burgis, Harold
Wilmer Flexer
B: 1923-09-29
D: 2017-08-24
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Flexer, Wilmer
Robert Blankenberg
B: 1978-09-26
D: 2017-08-23
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Blankenberg, Robert
Anita Canuso
B: 1930-05-01
D: 2017-08-20
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Canuso, Anita
Charles Shuman
B: 1918-09-18
D: 2017-08-20
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Shuman, Charles
Richard Green
B: 1944-07-08
D: 2017-08-15
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Green, Richard
Lance Robinson
B: 1931-09-13
D: 2017-08-08
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Robinson, Lance
Norma Mortimer
B: 1935-09-28
D: 2017-08-06
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Mortimer, Norma
Pauline Edwards
B: 1925-10-13
D: 2017-08-03
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Edwards, Pauline
Lillian Barrett
B: 1962-01-12
D: 2017-08-02
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Barrett, Lillian
Ruth Schwenk
B: 1927-12-19
D: 2017-07-31
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Schwenk, Ruth
Janet Smith
B: 1928-03-31
D: 2017-07-31
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Smith, Janet
Anthony Vitelli
B: 1940-06-13
D: 2017-07-30
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Vitelli, Anthony
Vera Mitsch
B: 1923-08-03
D: 2017-07-27
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Mitsch, Vera
Ingrid Krohn
B: 1938-01-12
D: 2017-07-26
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Krohn, Ingrid

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80 Stenton Avenue
Plymouth Meeting, PA 19462
Phone: (610) 832-2064
Fax: (610) 832-6396

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Kirk & Nice, Inc., please notify us first by phone at (610) 832-2064.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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