Obituaries

Esther Sampson
B: 1932-10-01
D: 2017-12-09
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Sampson, Esther
Robert Boure
B: 1942-06-18
D: 2017-12-08
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Boure, Robert
Robert Denoncourt
B: 1930-07-05
D: 2017-12-06
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Denoncourt, Robert
Eugene Bostock
B: 1937-02-17
D: 2017-12-06
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Bostock, Eugene
Andrew Matthew
B: 1932-08-20
D: 2017-11-29
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Matthew, Andrew
Patricia MacFarland
B: 1920-03-17
D: 2017-11-25
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MacFarland, Patricia
Colleen McNeill
B: 1969-09-09
D: 2017-11-24
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McNeill, Colleen
Albert Amadei
B: 1932-02-24
D: 2017-11-23
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Amadei, Albert
Matthew Galligan
B: 1997-06-29
D: 2017-11-22
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Galligan, Matthew
Lena Babayan
D: 2017-11-21
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Babayan, Lena
Sandra Wasel
B: 1955-08-26
D: 2017-11-10
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Wasel, Sandra
Charles Zeh
B: 1937-06-05
D: 2017-11-10
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Zeh, Charles
Richard Pierce
D: 2017-11-10
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Pierce, Richard
Paul Rennie
B: 1928-04-20
D: 2017-11-05
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Rennie, Paul
Mary Hoikala
B: 1928-06-06
D: 2017-10-28
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Hoikala, Mary
David Booth
B: 1925-12-14
D: 2017-10-15
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Booth, David
Mary Miles
B: 1939-09-14
D: 2017-10-13
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Miles, Mary
Richard Sargent
B: 1933-02-07
D: 2017-10-10
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Sargent, Richard
Kenneth Torok
B: 1939-03-22
D: 2017-10-07
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Torok, Kenneth
Rose Marie Sawyer
B: 1934-10-20
D: 2017-10-04
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Sawyer, Rose Marie
Roland Cone
B: 1929-07-30
D: 2017-09-29
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Cone, Roland

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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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