Obituaries

Robert Malpass
B: 1957-04-14
D: 2017-10-13
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Malpass, Robert
Kenneth Place
B: 1953-02-23
D: 2017-09-30
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Place, Kenneth
Raymond Moore
B: 1927-07-25
D: 2017-09-22
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Moore, Raymond
Victoria Kelly
B: 1948-01-04
D: 2017-09-17
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Kelly, Victoria
Edward La Barr
B: 1949-01-01
D: 2017-09-04
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La Barr, Edward
Beth Conway
B: 1950-12-16
D: 2017-09-03
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Conway, Beth
Garry Slater
B: 1951-07-05
D: 2017-08-25
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Slater, Garry
Joann Oxley
B: 1934-11-15
D: 2017-08-14
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Oxley, Joann
Charles Snyder
B: 1951-11-05
D: 2017-08-13
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Snyder, Charles
DeMarcus Lane
B: 2007-03-23
D: 2017-08-05
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Lane, DeMarcus
Kevin LaCross
B: 1961-06-25
D: 2017-07-12
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LaCross, Kevin
Karyn Welch (Schneider)
B: 1952-08-04
D: 2017-07-02
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Welch (Schneider), Karyn
George Quackenbush
B: 1950-01-30
D: 2017-06-23
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Quackenbush, George
Jeff King
B: 1968-03-29
D: 2017-05-31
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King, Jeff
Stavros Thomaides
B: 1933-10-14
D: 2017-04-30
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Thomaides, Stavros
Melissa Sleeper
B: 1960-04-21
D: 2017-04-29
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Sleeper, Melissa
John O'Brien
B: 1959-01-14
D: 2017-04-22
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O'Brien, John
John Kenney
B: 1940-08-09
D: 2017-04-22
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Kenney, John
Stephen Galusha
B: 1941-05-30
D: 2017-03-29
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Galusha, Stephen
Audrey Meineker
B: 1927-02-22
D: 2017-03-02
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Meineker, Audrey
Thomas Gizara
B: 1944-10-26
D: 2017-02-23
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Gizara, Thomas

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1855 12th Avenue
WATERVLIET, NY 12189
Phone: 518-273-3500
Fax: 518-274-2841
Pre-Plan Online - Konicek & Collett Funeral Home, LLC

Pre-Plan Online

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.


I. Biographical Information
Full Name:
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 You In Death            
Your 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:

         

             

       

Please select one of the options below:

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