Obituaries

Darwin Hatheway
B: 1929-10-18
D: 2017-12-12
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Hatheway, Darwin
Jeannette McCarty
B: 1940-11-24
D: 2017-12-07
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McCarty, Jeannette
Joyce Bernier
B: 1942-07-30
D: 2017-11-29
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Bernier, Joyce
Barbara Belanger
B: 1924-01-17
D: 2017-11-22
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Belanger, Barbara
Jean Proctor
B: 1933-08-21
D: 2017-11-20
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Proctor, Jean
Leslie LeBlanc
B: 1958-02-17
D: 2017-11-19
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LeBlanc, Leslie
Emile Morin
B: 1935-11-22
D: 2017-11-18
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Morin, Emile
Bruce Dunlap
B: 1938-04-29
D: 2017-11-16
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Dunlap, Bruce
Ralph Rollins
B: 1947-03-03
D: 2017-11-16
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Rollins, Ralph
Reginald Poulin
B: 1951-12-06
D: 2017-11-15
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Poulin, Reginald
Rose Hall
B: 1972-07-31
D: 2017-11-15
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Hall, Rose
Maurice Hyde
B: 1930-11-25
D: 2017-11-13
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Hyde, Maurice
Carolyn Kincaid
B: 1935-11-17
D: 2017-11-10
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Kincaid, Carolyn
Julie Taylor
B: 1957-02-18
D: 2017-11-08
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Taylor, Julie
David Patenaude
B: 1944-06-17
D: 2017-11-06
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Patenaude, David
Cecile Lachance
B: 1932-08-28
D: 2017-11-04
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Lachance, Cecile
Larry Hammes
B: 1946-09-08
D: 2017-11-03
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Hammes, Larry
Susan Leeman
B: 1923-08-28
D: 2017-10-26
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Leeman, Susan
Mary Perkins
B: 1941-03-29
D: 2017-10-24
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Perkins, Mary
David Gallant
B: 1939-11-04
D: 2017-10-21
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Gallant, David
Estelle Morin
B: 1934-09-19
D: 2017-10-18
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Morin, Estelle

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Augusta, ME 04330
Phone: 207-622-9311
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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:

Miscellaneous Notes and Instructions:

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