Obituaries

Gloria Troup
B: 1940-02-23
D: 2019-12-05
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Troup, Gloria
Edith Walton
B: 1933-04-29
D: 2019-12-04
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Walton, Edith
Daniel Durant
B: 1954-06-05
D: 2019-12-04
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Durant, Daniel
Madeleine Valerie Ames
B: 1965-09-11
D: 2019-12-03
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Ames, Madeleine Valerie
Gwendolyn Elizabeth Quill
B: 1938-10-02
D: 2019-12-03
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Quill, Gwendolyn Elizabeth
Robert Maquillan
B: 1960-03-07
D: 2019-12-02
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Maquillan, Robert
John Caine, Sr.
B: 1931-06-13
D: 2019-11-30
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Caine, Sr., John
Lawrence Bernard Randall
B: 1930-08-26
D: 2019-11-30
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Randall, Lawrence Bernard
Frank Caulkins
B: 1933-02-19
D: 2019-11-29
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Caulkins, Frank
Marjorie Tinker
B: 1926-11-20
D: 2019-11-25
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Tinker, Marjorie
Verna Joy
B: 1929-02-19
D: 2019-11-25
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Joy, Verna
Donna Bedard
B: 1944-05-09
D: 2019-11-25
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Bedard, Donna
Patrick Kennedy
B: 1935-09-26
D: 2019-11-24
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Kennedy, Patrick
Alan Hodgdon
B: 1956-05-18
D: 2019-11-24
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Hodgdon, Alan
Dorothy Sibley
B: 1927-01-11
D: 2019-11-23
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Sibley, Dorothy
Warren Niles
B: 1948-04-01
D: 2019-11-23
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Niles, Warren
Nellie House
B: 1926-10-14
D: 2019-11-23
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House, Nellie
Joan Paula Gardiner
B: 1929-07-20
D: 2019-11-23
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Gardiner, Joan Paula
Nicholas Kesaris
B: 1927-06-06
D: 2019-11-22
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Kesaris, Nicholas
Carol Mower
B: 1931-08-30
D: 2019-11-22
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Mower, Carol
Malcolm Cianchette
B: 1951-05-25
D: 2019-11-21
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Cianchette, Malcolm

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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:

         

             

       

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