Obituaries

Robert Brodeur
B: 1936-01-01
D: 2019-11-13
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Brodeur, Robert
JoAnne Upton
B: 1938-01-23
D: 2019-11-12
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Upton, JoAnne
Enid Fuhrman
B: 1932-05-05
D: 2019-11-09
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Fuhrman, Enid
Donald Kelley
B: 1934-03-01
D: 2019-11-09
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Kelley, Donald
Dorothy Howcroft
B: 1927-04-07
D: 2019-11-09
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Howcroft, Dorothy
David LaValley
B: 1954-10-01
D: 2019-11-09
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LaValley, David
Mary Bellonger
D: 2019-11-08
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Bellonger, Mary
Arlene Zappone
B: 1933-12-28
D: 2019-11-06
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Zappone, Arlene
V. Ann Allen
B: 1941-09-04
D: 2019-11-06
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Allen, V. Ann
Rosario Valenti
B: 1929-10-12
D: 2019-11-06
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Valenti, Rosario
Stephen Lenett
B: 1936-03-31
D: 2019-11-04
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Lenett, Stephen
Warren Wood
D: 2019-11-03
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Wood, Warren
Cynthia Scott
B: 1949-02-08
D: 2019-11-03
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Scott, Cynthia
Eusebio Serrano
B: 1934-08-01
D: 2019-11-02
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Serrano, Eusebio
Timothy Rolfe
B: 1966-03-01
D: 2019-11-01
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Rolfe, Timothy
Douglas Queen
B: 1937-02-14
D: 2019-10-31
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Queen, Douglas
Christina St. Clair
B: 1929-07-05
D: 2019-10-31
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St. Clair, Christina
David Boschetti
B: 1968-06-29
D: 2019-10-30
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Boschetti, David
Douglas Hugabone
B: 1932-03-10
D: 2019-10-29
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Hugabone, Douglas
Ruth Giroux
B: 1924-11-26
D: 2019-10-28
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Giroux, Ruth
Lula Lawrence
B: 1933-02-21
D: 2019-10-28
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Lawrence, Lula

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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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