Obituaries

Daniel Poisson
B: 1932-07-30
D: 2019-06-16
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Poisson, Daniel
Jane Wilbur
B: 1938-10-19
D: 2019-06-13
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Wilbur, Jane
Raymond Sanborn
B: 1935-03-18
D: 2019-06-13
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Sanborn, Raymond
Coral Higgins
B: 1943-02-06
D: 2019-06-11
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Higgins, Coral
Jeffrey McKeage
B: 1957-03-06
D: 2019-06-11
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McKeage, Jeffrey
Evelyn Bryant
B: 1927-02-17
D: 2019-06-10
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Bryant, Evelyn
Marilyn B. Fidler
B: 1931-11-30
D: 2019-06-10
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Fidler, Marilyn B.
Robert Croce
B: 1943-02-19
D: 2019-06-10
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Croce, Robert
Sandra Durgan
B: 1947-10-28
D: 2019-06-10
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Durgan, Sandra
Carmen Parent
B: 1941-06-21
D: 2019-06-08
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Parent, Carmen
Phyllis Leach
B: 1921-03-01
D: 2019-06-05
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Leach, Phyllis
Brian Webb
B: 1959-01-12
D: 2019-06-04
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Webb, Brian
Jeanette Witham
B: 1930-08-08
D: 2019-06-04
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Witham, Jeanette
Norman Buzzell
B: 1935-12-16
D: 2019-06-03
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Buzzell, Norman
Annette Scanlon
B: 1932-07-25
D: 2019-06-02
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Scanlon, Annette
Robert Ellsworth Reynolds
B: 1927-01-30
D: 2019-05-30
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Reynolds, Robert Ellsworth
Howard Hallett
B: 1937-04-14
D: 2019-05-29
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Hallett, Howard
Ramona Pelletier
B: 1929-12-25
D: 2019-05-28
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Pelletier, Ramona
John Nadeau
B: 1978-04-27
D: 2019-05-27
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Nadeau, John
Eileen Kasten
B: 1921-10-25
D: 2019-05-26
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Kasten, Eileen
Brady Louis Nickerson
B: 2004-10-31
D: 2019-05-26
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Nickerson, Brady Louis

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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:

         

             

       

Please select one of the options below:

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