Obituaries

James Rowley, Jr.
B: 1943-04-18
D: 2019-05-21
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Rowley, Jr., James
Frances Minton
B: 1943-11-19
D: 2019-05-19
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Minton, Frances
Theodore Catino
B: 1928-12-24
D: 2019-05-18
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Catino, Theodore
Malcolm Morrill
B: 1942-04-22
D: 2019-05-12
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Morrill, Malcolm
Blanche McGill
B: 1930-01-12
D: 2019-05-12
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McGill, Blanche
William Allen
B: 1936-04-27
D: 2019-05-11
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Allen, William
Marlene Bohadik
B: 1951-08-10
D: 2019-05-11
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Bohadik, Marlene
Edward Danville
B: 1942-03-03
D: 2019-05-10
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Danville, Edward
George Bokis
B: 1928-08-07
D: 2019-05-09
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Bokis, George
Frank Wadsworth, Sr.
B: 1932-06-14
D: 2019-05-06
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Wadsworth, Sr., Frank
Richard Stathers
B: 1930-09-21
D: 2019-05-03
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Stathers, Richard
John Cayward
B: 1935-03-03
D: 2019-05-02
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Cayward, John
Mildred Kozlowski
B: 1935-01-02
D: 2019-05-02
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Kozlowski, Mildred
Patricia Schillinger
B: 1943-01-22
D: 2019-05-01
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Schillinger, Patricia
Anna Carden
B: 1929-09-28
D: 2019-04-30
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Carden, Anna
Joyce Hunt
B: 1936-02-10
D: 2019-04-29
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Hunt, Joyce
Carlos Watson
B: 1942-07-22
D: 2019-04-28
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Watson, Carlos
Alan Ward
B: 1932-12-30
D: 2019-04-28
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Ward, Alan
Kathleen Francis
B: 1926-12-18
D: 2019-04-27
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Francis, Kathleen
Arlene Michaud
B: 1939-08-15
D: 2019-04-22
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Michaud, Arlene
Ann Bundy
B: 1936-01-05
D: 2019-04-21
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Bundy, Ann

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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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