Obituaries

Joseph Roman
B: 1939-08-18
D: 2025-03-19
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Roman, Joseph
Susan Lee
B: 1944-12-28
D: 2025-03-17
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Lee, Susan
Shirley Horn
B: 1945-10-18
D: 2025-03-16
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Horn, Shirley
Mary Wilson
B: 1947-06-16
D: 2025-03-16
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Wilson, Mary
Kathleen Furlani
B: 1948-08-14
D: 2025-03-15
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Furlani, Kathleen
Ronald Williams
B: 1939-03-10
D: 2025-03-14
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Williams, Ronald
Tin Vo
B: 1977-08-03
D: 2025-03-14
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Vo, Tin
Robert Salmon
B: 1946-08-19
D: 2025-03-13
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Salmon, Robert
Donald Garay
B: 1945-10-15
D: 2025-03-11
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Garay, Donald
Nancy Johnson
B: 1931-05-26
D: 2025-03-09
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Johnson, Nancy
Mary Buckley
B: 1946-07-09
D: 2025-03-09
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Buckley, Mary
Ruth Hastillo
B: 1928-09-13
D: 2025-03-08
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Hastillo, Ruth
Rita MacPherson
B: 1939-10-15
D: 2025-03-07
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MacPherson, Rita
Carol North
B: 1946-09-08
D: 2025-03-05
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North, Carol
Lillianne Clavet
B: 1935-10-12
D: 2025-03-04
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Clavet, Lillianne
Richard MacPherson
B: 1935-06-30
D: 2025-02-27
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MacPherson, Richard
Robert Hiller
B: 1936-12-21
D: 2025-02-25
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Hiller, Robert
Barbara Helm
B: 1941-12-26
D: 2025-02-25
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Helm, Barbara
Marty Coles
B: 1957-12-20
D: 2025-02-25
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Coles, Marty
Gilbert Connly
B: 1936-01-31
D: 2025-02-24
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Connly, Gilbert
Patricia Dimock
B: 1941-10-05
D: 2025-02-21
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Dimock, Patricia

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76 Prospect Street
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:

Miscellaneous Notes and Instructions:

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