Obituaries

Marilyn Clark
B: 1943-10-30
D: 2021-01-19
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Clark, Marilyn
Edward McNamara
B: 1935-01-28
D: 2021-01-19
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McNamara, Edward
William Wilkins
B: 1935-07-29
D: 2021-01-16
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Wilkins, William
Gerren Hart
B: 1989-03-28
D: 2021-01-14
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Hart, Gerren
Maria Goliber
B: 1933-03-15
D: 2021-01-13
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Goliber, Maria
Pauline Cook
B: 1930-07-29
D: 2021-01-13
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Cook, Pauline
Steven Farmer
D: 2021-01-13
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Farmer, Steven
Richard Del Guidice
B: 1939-09-20
D: 2021-01-12
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Del Guidice, Richard
Dorothy Flynn
B: 1924-04-01
D: 2021-01-10
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Flynn, Dorothy
Matayia Garrow
B: 1996-01-03
D: 2021-01-08
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Garrow, Matayia
Thomas David
B: 1932-08-07
D: 2021-01-08
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David, Thomas
Emmett Fleury
B: 1935-01-14
D: 2021-01-07
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Fleury, Emmett
Martha LaFrance
B: 1946-10-07
D: 2021-01-06
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LaFrance, Martha
Herrick Bulger
B: 1953-06-19
D: 2021-01-05
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Bulger, Herrick
Abram Phillips
B: 1943-03-27
D: 2020-12-31
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Phillips, Abram
Ann Oakes
B: 1935-10-15
D: 2020-12-30
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Oakes, Ann
Michael Bell
B: 1978-05-26
D: 2020-12-30
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Bell, Michael
Louise Clemens
B: 1929-09-27
D: 2020-12-26
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Clemens, Louise
Helen White
B: 1942-06-10
D: 2020-12-25
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White, Helen
Darcy Fuller
D: 2020-12-25
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Fuller, Darcy
Roger Beaulieu
D: 2020-12-24
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Beaulieu, Roger

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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

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:

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