Obituaries

Donald Cunningham
B: 1948-12-06
D: 2017-04-23
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Cunningham , Donald
Wanda Dziadul
B: 1923-06-05
D: 2017-04-21
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Dziadul, Wanda
Roland Beausoleil
B: 1948-04-07
D: 2017-04-20
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Beausoleil, Roland
Gilman Gagnon
B: 1926-11-04
D: 2017-04-19
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Gagnon, Gilman
Jeffrey Bell
B: 1959-03-02
D: 2017-04-18
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Bell, Jeffrey
Alison Knybel
B: 1966-08-31
D: 2017-04-18
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Knybel, Alison
George Janssen
B: 1966-04-13
D: 2017-04-18
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Janssen, George
Victor Stringer
B: 1933-07-20
D: 2017-04-16
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Stringer, Victor
Lawrence Shustock, Sr.
B: 1931-09-11
D: 2017-04-15
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Shustock, Sr., Lawrence
Erika Brousseau
B: 1981-10-17
D: 2017-04-14
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Brousseau, Erika
Joan Ann Sweet
B: 1950-05-12
D: 2017-04-13
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Sweet, Joan Ann
Raymond Poulin
B: 1960-02-17
D: 2017-04-11
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Poulin, Raymond
Charles Anderson
B: 1938-07-19
D: 2017-04-10
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Anderson, Charles
Julia McNabb
B: 1953-05-06
D: 2017-04-10
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McNabb, Julia
Barbara Bidwell
B: 1943-02-26
D: 2017-04-09
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Bidwell, Barbara
Robert Lee
B: 1932-03-17
D: 2017-04-08
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Lee, Robert
James Caminiti
B: 1971-12-28
D: 2017-04-08
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Caminiti, James
Albert Champagne
B: 1940-02-25
D: 2017-04-03
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Champagne, Albert
Andrew Curtis
B: 1932-07-14
D: 2017-04-02
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Curtis, Andrew
James Holcomb
B: 1942-11-28
D: 2017-03-30
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Holcomb, James
Sherry Poulin
B: 1957-03-07
D: 2017-03-30
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Poulin, Sherry

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Phone: (860) 875-5490
Fax: (860) 872-8200

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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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