Obituaries

Lucille Nixon
B: 1924-09-29
D: 2017-11-15
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Nixon, Lucille
Joylynn Ellis
B: 1943-11-28
D: 2017-11-15
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Ellis, Joylynn
Sylvia Roger
B: 1928-01-21
D: 2017-11-13
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Roger, Sylvia
Joan Conti
B: 1941-03-23
D: 2017-11-11
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Conti, Joan
Anna Adams
B: 1921-03-21
D: 2017-11-09
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Adams, Anna
Andrew Shaffer
B: 1929-04-17
D: 2017-11-03
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Shaffer, Andrew
Gregory Garbutt
B: 1955-08-30
D: 2017-10-29
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Garbutt, Gregory
Marian Richardson
B: 1932-07-15
D: 2017-10-27
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Richardson, Marian
Carol Kekela
B: 1948-10-05
D: 2017-10-23
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Kekela, Carol
Doris Cehula
B: 1931-11-06
D: 2017-10-22
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Cehula, Doris
Ethyl Kenes
B: 1926-04-24
D: 2017-10-22
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Kenes, Ethyl
Helen Sadusky
B: 1929-10-24
D: 2017-10-20
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Sadusky, Helen
Richard Holler
B: 1940-06-19
D: 2017-10-17
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Holler, Richard
Olive Bittner
B: 1926-08-27
D: 2017-10-16
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Bittner, Olive
Marie Suchevits
B: 1921-07-12
D: 2017-10-14
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Suchevits, Marie
John Stefan
B: 1952-06-23
D: 2017-10-03
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Stefan, John
Bernard Rakoczy
B: 1941-09-27
D: 2017-10-02
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Rakoczy, Bernard
Eugene Witteman
B: 1975-07-23
D: 2017-09-28
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Witteman, Eugene
Norma Hunchuck
B: 1942-02-24
D: 2017-09-25
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Hunchuck, Norma
Rose Kodric
B: 1926-08-18
D: 2017-09-24
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Kodric, Rose
James Shanaberger
B: 1940-08-27
D: 2017-09-23
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Shanaberger, James

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603 N. Gallatin Ave. Ext.
Uniontown, PA 15401
Phone: (724) 437-2756
Fax: (724) 438-8782

Immediate Need

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

To report a death to Stephen R. Haky Funeral Home, Inc., please notify us first by phone at (724) 437-2756.

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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