Obituaries

Joan Young
B: 1935-07-15
D: 2017-04-28
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Young, Joan
Roger Theriault
B: 1939-12-25
D: 2017-04-28
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Theriault, Roger
Donald Tuttle
B: 1924-11-02
D: 2017-04-24
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Tuttle, Donald
James O'Brien
B: 1932-12-09
D: 2017-04-20
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O'Brien, James
Elizabeth Moseley
B: 1930-02-04
D: 2017-04-13
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Moseley, Elizabeth
Dorothy Burns
B: 1936-01-30
D: 2017-04-12
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Burns, Dorothy
Constance Bowie
B: 1932-02-23
D: 2017-04-09
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Bowie, Constance
Ann Ingraham
B: 1933-07-17
D: 2017-04-06
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Ingraham, Ann
Robert Rouillard
B: 1933-04-22
D: 2017-03-30
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Rouillard, Robert
Irene Elliott
B: 1929-09-30
D: 2017-03-28
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Elliott, Irene
Steven Veilleux
B: 1964-12-26
D: 2017-03-27
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Veilleux, Steven
Gary Grimshaw
B: 1940-06-29
D: 2017-03-26
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Grimshaw, Gary
Joseph Violette
B: 1942-09-06
D: 2017-03-18
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Violette, Joseph
Bradley Moody
B: 1967-07-28
D: 2017-03-15
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Moody, Bradley
Joyce Luce
B: 1940-04-26
D: 2017-03-12
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Luce, Joyce
Joseph Ronan
B: 1930-03-15
D: 2017-03-10
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Ronan, Joseph
Robert Crockett
B: 1937-04-27
D: 2017-03-09
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Crockett, Robert
Charles Daley
B: 1933-10-02
D: 2017-03-07
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Daley, Charles
Dorothy Brewster
B: 1947-04-06
D: 2017-03-03
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Brewster, Dorothy
Bruce Streeter
B: 1949-01-26
D: 2017-03-01
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Streeter, Bruce
Lisa Whitmore
B: 1967-10-15
D: 2017-02-28
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Whitmore, Lisa

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Augusta, ME 04330
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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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