Obituaries

Janice Shultz
B: 1954-07-28
D: 2017-10-06
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Shultz, Janice
Mark Bates
B: 1991-02-02
D: 2017-10-01
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Bates , Mark
Peter Gugliotta
B: 1936-05-05
D: 2017-09-27
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Gugliotta, Peter
Gordon Hill
B: 1949-06-27
D: 2017-09-26
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Hill, Gordon
Mary Gergely
B: 1921-09-14
D: 2017-09-25
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Gergely, Mary
John Miller
B: 1967-04-08
D: 2017-09-24
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Miller, John
Anna Kolarik
B: 1933-03-06
D: 2017-09-17
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Kolarik, Anna
Dale Horner
B: 1933-09-11
D: 2017-09-10
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Horner, Dale
Sharon Murphy
B: 1949-11-07
D: 2017-09-09
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Murphy, Sharon
Roy Fiala
B: 1923-08-10
D: 2017-08-29
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Fiala, Roy
Carol Badertscher
B: 1934-12-06
D: 2017-08-21
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Badertscher, Carol
Marjorie Brown
B: 1927-04-30
D: 2017-08-20
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Brown, Marjorie
Carol Lindeman
B: 1936-12-15
D: 2017-08-02
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Lindeman, Carol
Charles Timco
B: 1942-05-09
D: 2017-08-01
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Timco, Charles
Joseph Nettles
B: 1923-03-24
D: 2017-07-31
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Nettles, Joseph
Steven Gugliotta
B: 1987-06-15
D: 2017-07-22
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Gugliotta, Steven
Karl Weiss
B: 1967-01-03
D: 2017-07-12
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Weiss, Karl
James Kuchera
B: 1939-01-18
D: 2017-06-30
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Kuchera, James
Christ Bauerle
B: 1927-01-15
D: 2017-06-27
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Bauerle, Christ
Ann DePompei
B: 1930-07-28
D: 2017-06-26
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DePompei, Ann
Owen Simpson
B: 1997-04-17
D: 2017-06-25
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Simpson, Owen

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8592 Darrow Road
Twinsburg, OH 44087
Phone: (330) 963-4100
Fax: (330) 963-4634

Immediate Need

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

To report a death to Blessing-Hine Funeral Home, please notify us first by phone at (330) 963-4100.

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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