Obituaries

Louise Redman
B: 1939-04-17
D: 2020-05-20
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Redman, Louise
Jacqueline Bolduc
B: 1964-09-13
D: 2020-05-19
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Bolduc, Jacqueline
Milton Huntington
B: 1932-02-11
D: 2020-05-12
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Huntington, Milton
John Jackson
B: 1961-06-14
D: 2020-05-07
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Jackson, John
Therese Turgeon
B: 1933-09-02
D: 2020-05-06
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Turgeon, Therese
Scott Carney
B: 1971-07-26
D: 2020-05-05
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Carney, Scott
Mark Smith
B: 1956-04-22
D: 2020-05-04
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Smith, Mark
Paul Kinsey
B: 1926-08-16
D: 2020-05-03
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Kinsey, Paul
Alton Cote
B: 1934-07-06
D: 2020-05-01
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Cote, Alton
Andrew Cooper
B: 1972-03-28
D: 2020-04-25
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Cooper, Andrew
Ricky Radcliffe
B: 1948-02-04
D: 2020-04-25
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Radcliffe, Ricky
Lorestine Beaudoin
B: 1925-05-23
D: 2020-04-19
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Beaudoin, Lorestine
Leslie Ames
B: 1925-02-05
D: 2020-04-18
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Ames, Leslie
Sandra Delisle
B: 1945-12-09
D: 2020-04-09
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Delisle, Sandra
Richard Madore
B: 1936-07-19
D: 2020-04-08
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Madore, Richard
Joan Giroux
B: 1932-01-29
D: 2020-04-05
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Giroux, Joan
Raymond Jacques
B: 1928-08-11
D: 2020-04-04
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Jacques, Raymond
Nancy Hill
B: 1942-12-27
D: 2020-04-04
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Hill, Nancy
Madeline Patenaude
B: 1923-04-29
D: 2020-04-03
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Patenaude, Madeline
Jacqueline Danforth
B: 1928-12-08
D: 2020-03-31
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Danforth, Jacqueline
Ronald Rollins
B: 1957-03-29
D: 2020-03-27
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Rollins, Ronald

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Augusta, ME 04330
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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 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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