Obituaries

Michael Shedd
B: 1970-01-05
D: 2019-12-02
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Shedd, Michael
Joyce Roy
B: 1936-05-10
D: 2019-11-29
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Roy, Joyce
Alexis Violette
B: 1922-04-27
D: 2019-11-28
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Violette, Alexis
Merces de Freitas
B: 1928-09-03
D: 2019-11-25
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de Freitas, Merces
Phil Lamontagne
B: 1926-02-07
D: 2019-11-21
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Lamontagne, Phil
Adelbert Carney
B: 1921-02-03
D: 2019-11-21
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Carney, Adelbert
Richard Hersom
B: 1952-08-19
D: 2019-11-19
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Hersom, Richard
Harry Stickney
B: 1943-07-18
D: 2019-11-17
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Stickney, Harry
Romeo Sirois
B: 1931-06-24
D: 2019-11-15
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Sirois, Romeo
Rose Betit
B: 1919-05-30
D: 2019-11-14
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Betit, Rose
Tasha Jackson
B: 1990-02-19
D: 2019-11-14
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Jackson, Tasha
Suellen Civiello
B: 1953-03-31
D: 2019-11-11
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Civiello, Suellen
Elisabeth Borgerhoff-Pomerleau
B: 1951-08-20
D: 2019-11-08
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Borgerhoff-Pomerleau, Elisabeth
Dennis Brann
B: 1951-10-08
D: 2019-11-07
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Brann, Dennis
George Roy
B: 1936-08-19
D: 2019-10-30
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Roy, George
Merle Geroux
B: 1933-01-30
D: 2019-10-29
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Geroux, Merle
Thomas Birmingham
B: 1952-02-01
D: 2019-10-25
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Birmingham, Thomas
Kayla Beaudoin
B: 1985-05-09
D: 2019-10-24
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Beaudoin, Kayla
Ronald Weeks
B: 1933-02-08
D: 2019-10-23
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Weeks, Ronald
Cynthia Guay
B: 1934-04-23
D: 2019-10-23
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Guay, Cynthia
Lucille Veilleux
D: 2019-10-14
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Veilleux, Lucille

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Augusta, ME 04330
Phone: 207-622-9311
Fax: 207-622-9313

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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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