Obituaries

Josephine "Josie" Johnson
B: 1926-02-05
D: 2017-10-20
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Johnson, Josephine "Josie"
Nina McKeon
B: 1955-01-25
D: 2017-10-19
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McKeon, Nina
Sylvia Kipp
B: 1938-12-18
D: 2017-10-18
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Kipp, Sylvia
Lois Dean
B: 1942-12-29
D: 2017-10-17
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Dean, Lois
Marcia Dagnoli
B: 1935-05-28
D: 2017-10-17
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Dagnoli, Marcia
Marianne Kenney
B: 1922-11-03
D: 2017-10-17
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Kenney, Marianne
Wendy Mangano
B: 1974-05-10
D: 2017-10-16
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Mangano, Wendy
Josephine Lamberti
B: 1920-01-04
D: 2017-10-14
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Lamberti, Josephine
David Zerbato
B: 1967-06-05
D: 2017-10-14
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Zerbato, David
John Crase
B: 1922-01-31
D: 2017-10-14
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Crase, John
Hilary Alden
B: 1969-06-04
D: 2017-10-14
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Alden, Hilary
Rita DeMarsico
B: 1919-09-18
D: 2017-10-13
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DeMarsico, Rita
Bibiane Poirier
B: 1938-02-25
D: 2017-10-13
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Poirier, Bibiane
George "Bing" Crosby
B: 1928-09-12
D: 2017-10-13
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Crosby, George "Bing"
Marion Beverly
B: 1929-01-30
D: 2017-10-12
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Beverly, Marion
Emma Jobin
B: 1914-06-16
D: 2017-10-11
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Jobin, Emma
Leo LaValley
B: 1925-07-04
D: 2017-10-08
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LaValley, Leo
Michele Novick
B: 1957-07-29
D: 2017-10-06
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Novick, Michele
Marjorie Rynkowski
B: 1932-07-27
D: 2017-10-06
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Rynkowski, Marjorie
Lillian Godbout
B: 1925-09-14
D: 2017-10-04
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Godbout, Lillian
Marian Falcon
B: 1934-07-27
D: 2017-10-02
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Falcon, Marian

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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 place my information on file

         

       

 

 

 

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