Obituaries

Martha Converse
B: 1924-08-12
D: 2019-06-25
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Converse, Martha
Beatrice Hampton
B: 1939-12-12
D: 2019-06-24
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Hampton, Beatrice
William Nichols
B: 1948-02-23
D: 2019-06-17
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Nichols, William
Barney Rourke
B: 1924-09-04
D: 2019-06-14
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Rourke, Barney
Beatrice Cole
B: 1931-06-05
D: 2019-06-12
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Cole, Beatrice
Luella Bellinger
B: 1939-04-01
D: 2019-06-07
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Bellinger, Luella
Darlene Sunday
B: 1935-01-31
D: 2019-06-05
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Sunday, Darlene
Louis Levi Oakes
B: 1925-01-23
D: 2019-05-28
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Oakes, Louis Levi
Patrick McDonald
B: 1955-04-18
D: 2019-05-25
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McDonald, Patrick
Deborah Farmer
B: 1956-02-10
D: 2019-05-25
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Farmer, Deborah
Royce Drawdy
B: 1970-11-20
D: 2019-05-25
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Drawdy, Royce
Peter Clute
B: 1971-02-13
D: 2019-05-23
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Clute, Peter
Shirley Fetterly
B: 1937-06-09
D: 2019-05-21
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Fetterly, Shirley
Hilda Mayo
B: 1926-08-17
D: 2019-05-19
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Mayo, Hilda
Kerrith Chapman
B: 1950-06-08
D: 2019-05-19
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Chapman, Kerrith
Martha McLean
B: 1932-03-06
D: 2019-05-18
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McLean, Martha
Beverly Lazore
B: 1947-12-12
D: 2019-05-16
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Lazore, Beverly
Blanche Nadeau
B: 1925-03-15
D: 2019-05-14
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Nadeau, Blanche
Doris Frazer
B: 1923-10-06
D: 2019-05-14
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Frazer, Doris
Kevin Matott
B: 1974-01-05
D: 2019-05-12
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Matott, Kevin
Donna Thomas
B: 1962-05-08
D: 2019-05-12
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Thomas, Donna

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I. Biographical Information
 
Full Name:
Date of Death:
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 In Death
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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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