Obituaries

Joanna Zavarella
B: 1949-03-30
D: 2017-05-17
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Zavarella, Joanna
Judith Stewart
B: 1939-07-11
D: 2017-05-17
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Stewart, Judith
Sarah Cacciatore
B: 1914-11-04
D: 2017-05-16
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Cacciatore, Sarah
Richard Schmelter
B: 1932-05-16
D: 2017-05-16
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Schmelter, Richard
Ann Howard
B: 1922-11-14
D: 2017-05-14
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Howard, Ann
Jessica Braun
B: 1985-02-06
D: 2017-05-11
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Braun, Jessica
Herman Frechette
B: 1934-03-31
D: 2017-05-11
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Frechette, Herman
Marie Nadeau
B: 1944-12-01
D: 2017-05-08
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Nadeau, Marie
Russell Allen
B: 1938-01-07
D: 2017-05-06
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Allen, Russell
James Price
B: 1943-05-22
D: 2017-05-03
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Price, James
Ruth Ashe
B: 1924-01-19
D: 2017-05-02
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Ashe, Ruth
Harry Stone
B: 1935-02-12
D: 2017-04-30
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Stone, Harry
Patricia Croteau
B: 1935-04-28
D: 2017-04-28
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Croteau, Patricia
Gordon Taylor
B: 1931-08-09
D: 2017-04-27
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Taylor, Gordon
Ralph LeGrow
B: 1947-05-11
D: 2017-04-24
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LeGrow, Ralph
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

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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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