Obituaries

Juliette Brawn
B: 1930-12-05
D: 2023-02-05
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Brawn, Juliette
Madeleine Rouillard
B: 1934-11-17
D: 2023-02-02
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Rouillard, Madeleine
Thomas Thornton
B: 1951-11-15
D: 2023-01-30
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Thornton, Thomas
James Cummings
B: 1939-09-10
D: 2023-01-29
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Cummings, James
Grace Bumford
B: 1938-01-11
D: 2023-01-28
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Bumford, Grace
Theresa Bennett
B: 1926-07-26
D: 2023-01-27
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Bennett, Theresa
Mary Nunan
B: 1949-06-25
D: 2023-01-26
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Nunan, Mary
Lydia Falcon
B: 1944-11-14
D: 2023-01-26
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Falcon, Lydia
Marie Carr
B: 1926-07-01
D: 2023-01-24
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Carr, Marie
Carol Charest
B: 1948-11-25
D: 2023-01-22
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Charest, Carol
Linda Cummings
B: 1947-05-24
D: 2023-01-22
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Cummings, Linda
Robert Webber
B: 1955-03-14
D: 2023-01-21
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Webber, Robert
Wayne Giroux
B: 1938-04-28
D: 2023-01-21
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Giroux, Wayne
Anita Lapointe
B: 1924-06-04
D: 2023-01-18
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Lapointe, Anita
Sean Kiernan
B: 1971-11-05
D: 2023-01-17
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Kiernan, Sean
Darlene Marquette
B: 1960-09-14
D: 2023-01-17
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Marquette, Darlene
David Brann
B: 1951-09-21
D: 2023-01-17
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Brann, David
Linda Rice
B: 1951-03-14
D: 2023-01-13
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Rice, Linda
Nathan Martin
B: 1979-08-02
D: 2023-01-09
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Martin, Nathan
Rémy Pettengill
B: 2005-12-29
D: 2023-01-07
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Pettengill, Rémy
David Wilson
B: 1942-07-21
D: 2023-01-06
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Wilson, David

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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 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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Please place my information on file


 

 

 

 

 

 

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