Obituaries

Donald Harvey
B: 1933-09-21
D: 2018-06-19
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Harvey, Donald
Doris Andreatta
B: 1931-05-21
D: 2018-06-15
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Andreatta, Doris
Alphonse "Al" Torchia
B: 1925-11-17
D: 2018-06-14
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Torchia, Alphonse "Al"
Timothy Noyes
B: 1961-05-06
D: 2018-06-14
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Noyes, Timothy
Daniel Gendron
B: 1952-06-20
D: 2018-06-13
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Gendron, Daniel
Sheila Valentine
B: 1946-09-06
D: 2018-06-12
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Valentine, Sheila
Katherine Allard
B: 1923-07-26
D: 2018-06-11
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Allard, Katherine
Barbara Bushey
B: 1957-04-09
D: 2018-06-09
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Bushey, Barbara
Roger Pedercini
B: 1936-11-02
D: 2018-06-08
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Pedercini, Roger
Elaine Shippee
B: 1928-11-04
D: 2018-06-03
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Shippee, Elaine
Rodger Davis
B: 1946-11-11
D: 2018-06-02
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Davis, Rodger
Catherine Horsfall Tomlinson
B: 1926-02-25
D: 2018-06-01
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Horsfall Tomlinson, Catherine
Linda Estes
B: 1947-05-21
D: 2018-06-01
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Estes, Linda
Rose Franceschetti
B: 1931-10-13
D: 2018-05-31
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Franceschetti, Rose
Alexander Aubin
B: 1936-03-04
D: 2018-05-28
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Aubin, Alexander
Barbara LaBonte
B: 1954-09-19
D: 2018-05-28
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LaBonte, Barbara
Frederick Perras
B: 1939-11-07
D: 2018-05-27
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Perras, Frederick
Patricia Bolza
B: 1947-01-12
D: 2018-05-25
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Bolza, Patricia
Robert Tatro
B: 1961-11-06
D: 2018-05-25
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Tatro, Robert
Paul Ricciarini
B: 1975-08-12
D: 2018-05-24
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Ricciarini, Paul
Rosemary Benoit
B: 1952-12-27
D: 2018-05-21
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Benoit, Rosemary

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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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