Obituaries

Dorothy McLeod
B: 1933-05-06
D: 2019-02-14
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McLeod, Dorothy
Robert Burke
B: 1936-08-29
D: 2019-02-13
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Burke, Robert
Eunice Howard Baldwin
B: 1926-03-26
D: 2019-02-13
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Baldwin, Eunice Howard
Elinor Canders
B: 1926-07-15
D: 2019-02-08
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Canders, Elinor
Alice M. Dyer
B: 1920-06-27
D: 2019-02-08
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Dyer, Alice M.
Charles C. Campbell
B: 1929-09-25
D: 2019-02-08
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Campbell, Charles C.
John Sullivan
B: 2014-08-12
D: 2019-02-06
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Sullivan, John
Joyce Dahlgren
B: 1948-09-29
D: 2019-02-05
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Dahlgren, Joyce
Bertrand Phillips
B: 1925-03-09
D: 2019-02-05
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Phillips, Bertrand
Charles Richard Boulier
B: 1949-05-02
D: 2019-02-05
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Boulier, Charles Richard
June Fowler
B: 1925-04-18
D: 2019-02-05
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Fowler, June
Priscilla Washburn
B: 1931-04-10
D: 2019-02-04
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Washburn, Priscilla
Betty Jane Baker
B: 1928-02-10
D: 2019-02-04
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Baker, Betty Jane
Elizabeth Stevens
B: 1938-08-19
D: 2019-02-03
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Stevens, Elizabeth
William Sturrock
B: 1929-08-23
D: 2019-02-03
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Sturrock, William
John W. Lefebvre
B: 1936-03-22
D: 2019-02-02
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Lefebvre, John W.
Anthony Malchiodi
B: 1941-03-02
D: 2019-01-31
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Malchiodi, Anthony
Mark Leen
B: 1956-07-28
D: 2019-01-31
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Leen, Mark
Thomas McCann
B: 1969-06-20
D: 2019-01-29
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McCann, Thomas
Linwood Getchell
B: 1926-06-14
D: 2019-01-29
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Getchell, Linwood
Anna Buck
B: 1923-10-26
D: 2019-01-29
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Buck, Anna

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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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