Obituaries

Glen Hlavaty
B: 1955-01-02
D: 2022-11-24
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Hlavaty, Glen
James West
B: 1952-12-27
D: 2022-11-21
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West, James
Frances Stoeffler
B: 1938-08-20
D: 2022-11-19
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Stoeffler, Frances
Bernard Mulligan
B: 1940-11-22
D: 2022-11-17
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Mulligan, Bernard
Kenneth Garee
B: 1937-05-07
D: 2022-11-14
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Garee, Kenneth
Margaret DesRocher
B: 1942-08-31
D: 2022-11-12
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DesRocher, Margaret
David Webster
B: 1936-01-29
D: 2022-11-09
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Webster, David
Judith Aidukonis
B: 1951-09-29
D: 2022-11-09
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Aidukonis, Judith
Ruth Heck
B: 2020-06-14
D: 2022-10-30
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Heck, Ruth
Edsel Balfour McCarthy
B: 1955-11-10
D: 2022-10-30
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McCarthy, Edsel Balfour
Ethel Smith
B: 1933-02-20
D: 2022-10-29
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Smith, Ethel
Gracemary Tanner
D: 2022-10-26
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Tanner, Gracemary
Ernest Law
B: 1932-10-27
D: 2022-10-25
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Law, Ernest
Linda Nott
B: 1955-08-29
D: 2022-10-24
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Nott, Linda
Anthony Raulukaitis
B: 1935-10-24
D: 2022-10-24
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Raulukaitis, Anthony
David Connery
B: 1945-01-30
D: 2022-10-20
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Connery, David
Corinne Kupec
B: 1961-02-27
D: 2022-10-19
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Kupec, Corinne
Marilyn Fallon
B: 1955-12-29
D: 2022-10-19
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Fallon, Marilyn
Gary Hallwood
B: 1943-05-24
D: 2022-10-18
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Hallwood, Gary
Elaine Adams
B: 1936-03-16
D: 2022-10-18
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Adams, Elaine
Noel Gessay
B: 1945-12-25
D: 2022-10-16
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Gessay, Noel

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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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