Obituaries

Thomas Galaske
B: 1929-12-22
D: 2024-05-17
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Galaske, Thomas
Bernadine Shaughnessy
B: 1931-08-15
D: 2024-05-17
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Shaughnessy, Bernadine
JoAnne Dimmock
B: 1947-11-20
D: 2024-05-11
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Dimmock, JoAnne
Lana Dawid
B: 1954-09-02
D: 2024-05-08
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Dawid, Lana
Thomas Orlowski
B: 1944-06-22
D: 2024-05-08
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Orlowski, Thomas
Edward Moynihan
B: 1942-07-21
D: 2024-05-06
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Moynihan, Edward
Veronica Adams
B: 1926-03-16
D: 2024-05-05
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Adams, Veronica
James French
D: 2024-05-04
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French, James
Erika Phillips
B: 1962-08-19
D: 2024-04-29
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Phillips, Erika
Georgette Coutu
B: 1929-12-06
D: 2024-04-28
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Coutu, Georgette
David Whalen
B: 1944-06-27
D: 2024-04-28
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Whalen, David
Bruce Michaud
B: 1963-09-27
D: 2024-04-25
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Michaud, Bruce
Emily Lucia
B: 1993-08-03
D: 2024-04-24
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Lucia, Emily
Jeremy Krol
B: 1975-02-11
D: 2024-04-22
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Krol, Jeremy
Jhessica Fleming
B: 1977-03-26
D: 2024-04-15
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Fleming, Jhessica
Paul Jackson
B: 1933-04-23
D: 2024-04-15
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Jackson, Paul
Robert Hampton
B: 1957-03-14
D: 2024-04-14
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Hampton, Robert
Jared Tetreault
B: 1984-03-06
D: 2024-04-12
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Tetreault, Jared
Alexander Salisbury
B: 2013-07-31
D: 2024-04-10
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Salisbury, Alexander
Christopher Hebert
B: 1952-01-13
D: 2024-04-07
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Hebert, Christopher
John Polhemus
B: 1937-07-30
D: 2024-04-07
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Polhemus, John

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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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