Obituaries

Nellie Kozlowski
B: 1923-09-23
D: 2017-03-28
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Kozlowski, Nellie
Helen Ashland
B: 1925-07-23
D: 2017-03-27
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Ashland, Helen
Marian Harlow
B: 1932-03-21
D: 2017-03-26
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Harlow, Marian
John Hutton
B: 1929-05-13
D: 2017-03-24
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Hutton, John
Leo Dungan
B: 1927-01-29
D: 2017-03-24
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Dungan, Leo
Frank McNabb
B: 1936-04-10
D: 2017-03-21
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McNabb, Frank
Kathleen Bigras
B: 1933-01-31
D: 2017-03-20
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Bigras, Kathleen
Martin Phillips
B: 1926-02-04
D: 2017-03-19
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Phillips, Martin
Nelson Bearce
B: 1919-02-25
D: 2017-03-19
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Bearce, Nelson
Judith Griswold
B: 1939-02-28
D: 2017-03-19
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Griswold, Judith
Joseph Lavoie
B: 1936-08-21
D: 2017-03-16
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Lavoie, Joseph
Norman Poulin
B: 1933-10-27
D: 2017-03-15
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Poulin, Norman
Nicholas Juliano
B: 1926-07-31
D: 2017-03-13
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Juliano, Nicholas
Donna Belisle
B: 1955-12-20
D: 2017-03-13
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Belisle, Donna
Maureen Boyle
B: 1936-11-28
D: 2017-03-12
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Boyle, Maureen
Joan Gullen
B: 1939-05-13
D: 2017-03-11
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Gullen, Joan
Joseph Willis
B: 1928-08-25
D: 2017-03-10
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Willis, Joseph
Antoinette Audibert
B: 1931-12-02
D: 2017-03-10
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Audibert, Antoinette
Phillip Donihee
B: 1936-11-04
D: 2017-03-09
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Donihee, Phillip
Jane Ross
B: 1941-02-11
D: 2017-03-08
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Ross, Jane
Paul Blackwelder
B: 1925-08-06
D: 2017-03-07
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Blackwelder, Paul

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Phone: (860) 875-5490
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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:

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