Obituaries

Mathias Stein
B: 1934-10-09
D: 2024-11-19
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Stein, Mathias
Paul Perodeau
B: 1935-09-04
D: 2024-11-18
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Perodeau, Paul
William Mulka
B: 1970-04-11
D: 2024-11-11
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Mulka, William
Mary Andrulat
B: 1938-04-07
D: 2024-11-08
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Andrulat, Mary
Dennis Gessay
B: 1943-09-23
D: 2024-11-02
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Gessay, Dennis
Gerald Cosman
B: 1936-04-24
D: 2024-10-31
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Cosman, Gerald
Jenessa Cyr
B: 1997-07-24
D: 2024-10-28
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Cyr, Jenessa
Martha Keaveney
B: 1942-04-03
D: 2024-10-25
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Keaveney, Martha
Kelly Norris
B: 1979-12-21
D: 2024-10-23
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Norris, Kelly
Leah Ching
B: 1950-07-19
D: 2024-10-23
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Ching, Leah
Elaine Machnicki
B: 1961-08-23
D: 2024-10-22
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Machnicki, Elaine
Bobby Watson
B: 1956-08-29
D: 2024-10-18
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Watson, Bobby
David Robbins
B: 1932-04-22
D: 2024-10-18
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Robbins, David
Linda Papa
B: 1942-02-09
D: 2024-10-18
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Papa, Linda
Richard Bundy
B: 1935-09-11
D: 2024-10-15
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Bundy , Richard
Anthony Maleski
B: 1937-04-04
D: 2024-10-08
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Maleski, Anthony
Shirley Moriarty
B: 1937-04-07
D: 2024-10-07
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Moriarty, Shirley
Barbara Phillips
B: 1926-09-10
D: 2024-10-06
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Phillips, Barbara
Reuben Liburd
B: 1948-12-30
D: 2024-10-06
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Liburd, Reuben
Dorothy Pacetti
B: 1930-09-29
D: 2024-10-06
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Pacetti, Dorothy
Pamela Howard
B: 1952-03-08
D: 2024-10-05
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Howard, Pamela

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Rockville-Vernon, CT 06066
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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