Obituaries

Frances Lewis
B: 1938-11-20
D: 2017-03-21
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Lewis, Frances
Joan Farinon
D: 2017-03-17
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Farinon, Joan
Theresa LaPine
D: 2017-03-17
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LaPine, Theresa
Zita Pedrin
B: 1917-01-02
D: 2017-03-16
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Pedrin, Zita
Josephine Gilardi
B: 1926-07-06
D: 2017-03-16
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Gilardi, Josephine
John Armstrong
D: 2017-03-15
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Armstrong, John
Helen Segala
B: 1936-02-14
D: 2017-03-15
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Segala, Helen
Madeline Demers
B: 1926-10-01
D: 2017-03-12
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Demers, Madeline
John Flaherty
B: 1921-08-19
D: 2017-03-11
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Flaherty, John
Bessie Lapine
B: 1924-12-16
D: 2017-03-11
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Lapine, Bessie
Priscilla Northup
B: 1924-05-24
D: 2017-03-08
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Northup, Priscilla
Brian Cormier
B: 1956-02-07
D: 2017-03-08
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Cormier, Brian
Norma Campbell-Hickey
B: 1930-09-02
D: 2017-03-08
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Campbell-Hickey, Norma
Anthony Umbro
B: 1930-10-03
D: 2017-03-08
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Umbro, Anthony
Thomas Snow
B: 1964-10-30
D: 2017-03-08
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Snow, Thomas
Sharon Levesque
B: 1945-10-25
D: 2017-03-07
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Levesque, Sharon
Lorraine Wilson
B: 1932-10-19
D: 2017-03-06
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Wilson, Lorraine
Mary Meade
B: 1920-12-23
D: 2017-03-06
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Meade, Mary
Mark Feder
B: 1949-12-03
D: 2017-03-04
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Feder, Mark
William Steel
B: 1916-07-23
D: 2017-02-28
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Steel, William
Phyllis Wiles
B: 1928-03-29
D: 2017-02-28
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Wiles, Phyllis

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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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Please contact me to schedule an appointment

Please place my information on file

         

       

 

 

 

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