Obituaries

Julius Miffitt
B: 1924-12-14
D: 2017-09-22
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Miffitt, Julius
Paula Martin
B: 1942-09-27
D: 2017-09-20
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Martin, Paula
Joseph Sapia
B: 1935-12-11
D: 2017-09-20
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Sapia, Joseph
Beverly Zwingelstein
B: 1930-09-15
D: 2017-09-20
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Zwingelstein, Beverly
Josephine Houck
B: 1930-10-23
D: 2017-09-20
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Houck, Josephine
Richard Bowering
B: 1934-04-04
D: 2017-09-19
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Bowering, Richard
Rachel Gale
B: 1923-05-13
D: 2017-09-17
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Gale, Rachel
Sharon McCullough
B: 1955-07-05
D: 2017-09-16
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McCullough, Sharon
Timothy Kneeland
B: 1988-01-13
D: 2017-09-16
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Kneeland, Timothy
Carmen Nadeau
B: 1926-01-23
D: 2017-09-12
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Nadeau, Carmen
Paul Kingsbury
B: 1929-11-24
D: 2017-09-08
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Kingsbury, Paul
Tania Zymny
B: 1927-11-29
D: 2017-09-03
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Zymny, Tania
Merton Wilkins
B: 1937-02-24
D: 2017-09-01
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Wilkins, Merton
Jeffrey Anderson
B: 1964-05-16
D: 2017-08-30
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Anderson, Jeffrey
Gary Mattis
B: 1950-06-06
D: 2017-08-29
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Mattis, Gary
Thomas Murray
B: 1953-06-27
D: 2017-08-27
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Murray, Thomas
Gary Mackintosh
B: 1952-10-16
D: 2017-08-26
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Mackintosh, Gary
Patrice Howell
B: 1959-10-19
D: 2017-08-25
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Howell, Patrice
Mary Butler
B: 1931-09-18
D: 2017-08-24
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Butler, Mary
Forrest LaPointe
B: 1947-02-09
D: 2017-08-23
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LaPointe, Forrest
Donna Michael
B: 1941-08-03
D: 2017-08-23
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Michael, Donna

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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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