Obituaries

Bernard Gomeau
D: 2020-01-15
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Gomeau, Bernard
William Powers
B: 1939-10-26
D: 2020-01-15
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Powers, William
Gary Bernardo
D: 2020-01-14
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Bernardo, Gary
Stephen Rando
D: 2020-01-14
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Rando, Stephen
Joseph Mogavero
B: 1926-12-02
D: 2020-01-14
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Mogavero, Joseph
Scott Moran
D: 2020-01-13
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Moran, Scott
Donald Racette
B: 1932-08-02
D: 2020-01-11
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Racette, Donald
Harold Tower
B: 1927-12-30
D: 2020-01-08
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Tower, Harold
Jeanette Green
D: 2020-01-08
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Green, Jeanette
John Pasierbiak
B: 1967-04-25
D: 2020-01-07
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Pasierbiak, John
Joseph Szewczyk
D: 2020-01-04
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Szewczyk, Joseph
Larrie Noyes
D: 2020-01-02
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Noyes, Larrie
Stacy Pelletier
B: 1975-08-29
D: 2020-01-02
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Pelletier, Stacy
June McConnell
D: 2020-01-01
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McConnell, June
Harry Beverly
D: 2019-12-31
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Beverly, Harry
Mary Leab
B: 1938-08-25
D: 2019-12-30
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Leab, Mary
John Foehl
B: 1941-08-20
D: 2019-12-28
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Foehl, John
Russell Blake
B: 1948-05-07
D: 2019-12-28
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Blake, Russell
Jane Simon
D: 2019-12-28
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Simon, Jane
Robert Riddell
D: 2019-12-27
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Riddell, Robert
Catherine Kilburn
D: 2019-12-27
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Kilburn, Catherine

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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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