Obituaries

Shirley Barry
B: 1926-10-15
D: 2017-04-21
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Barry, Shirley
Marion Dobbert
B: 1940-02-05
D: 2017-04-21
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Dobbert, Marion
Francis Lemieux
B: 1934-05-23
D: 2017-04-20
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Lemieux, Francis
Liana Knox
B: 1928-01-30
D: 2017-04-19
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Knox, Liana
Sheldon Field
B: 1933-12-07
D: 2017-04-17
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Field, Sheldon
Helen Stroup
B: 1921-10-02
D: 2017-04-16
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Stroup, Helen
Richard Rouse
B: 1920-07-09
D: 2017-04-16
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Rouse, Richard
Stephen Perkins
B: 1958-02-13
D: 2017-04-11
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Perkins, Stephen
Richard O'Neill
B: 1931-11-29
D: 2017-04-09
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O'Neill, Richard
Richard DiCicco
B: 1950-09-11
D: 2017-04-09
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DiCicco, Richard
Louise Merlini
B: 1947-07-19
D: 2017-04-08
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Merlini, Louise
Irving Tanzman
B: 1932-03-08
D: 2017-04-08
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Tanzman, Irving
Pamela Jelley
B: 1942-08-29
D: 2017-04-07
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Jelley, Pamela
Robert Therrien
B: 1938-10-07
D: 2017-04-06
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Therrien, Robert
Theodore Pierce
B: 1931-03-02
D: 2017-04-05
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Pierce, Theodore
Kathryn Naughton
B: 1923-03-03
D: 2017-04-04
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Naughton, Kathryn
Gladys Wood
B: 1921-05-07
D: 2017-04-03
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Wood, Gladys
Shobha Rani
B: 1941-10-24
D: 2017-04-03
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Rani, Shobha
Stuart Armet
B: 1941-10-20
D: 2017-04-02
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Armet, Stuart
George Morrell
B: 1925-02-22
D: 2017-03-28
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Morrell, George
Rita Clifford
B: 1926-09-13
D: 2017-03-27
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Clifford, Rita

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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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Please contact me to schedule an appointment

Please place my information on file

         

       

 

 

 

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