Obituaries

Todd Johnson
B: 1945-12-12
D: 2018-06-22
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Johnson, Todd
Patricia Gilbert
B: 1934-03-10
D: 2018-06-15
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Gilbert, Patricia
Norman Polley
B: 1940-07-13
D: 2018-06-15
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Polley, Norman
Roland Barney
B: 1930-03-31
D: 2018-06-14
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Barney, Roland
Frank Staton
B: 1948-09-10
D: 2018-06-12
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Staton, Frank
Richard Sette
B: 1937-05-14
D: 2018-06-05
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Sette, Richard
Eleanor Webb
B: 1926-04-20
D: 2018-06-01
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Webb, Eleanor
David Stewart
B: 1937-09-14
D: 2018-06-01
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Stewart, David
Rita Gilbert
B: 1925-03-19
D: 2018-05-30
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Gilbert, Rita
Theodore Sylvain
B: 1933-06-09
D: 2018-05-29
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Sylvain, Theodore
Evelyn Redmond
B: 1934-11-03
D: 2018-05-27
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Redmond, Evelyn
Everett Tufts
B: 1927-06-21
D: 2018-05-27
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Tufts, Everett
Isabelle Gilbert
B: 1927-07-22
D: 2018-05-21
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Gilbert, Isabelle
Jeffrey Cantara
B: 1970-08-12
D: 2018-05-15
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Cantara, Jeffrey
Brandy Lilly-Bizier
B: 1980-10-08
D: 2018-05-13
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Lilly-Bizier, Brandy
Vicki Grenier
B: 1936-04-15
D: 2018-05-10
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Grenier, Vicki
Leah Bechard
B: 2017-11-17
D: 2018-05-09
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Bechard, Leah
Brigitte Plante
B: 1942-03-02
D: 2018-05-06
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Plante, Brigitte
Burton Truman
B: 1934-07-12
D: 2018-05-01
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Truman, Burton
Jesse Miller
B: 1926-10-02
D: 2018-05-01
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Miller, Jesse
Bertie Shorey
B: 1943-03-08
D: 2018-04-27
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Shorey, Bertie

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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:
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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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