Obituaries

Ruth Farquharson
B: 1932-01-11
D: 2018-04-23
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Farquharson, Ruth
Donald Payson
B: 1949-10-29
D: 2018-04-23
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Payson, Donald
Allison Gibbs
B: 1942-03-25
D: 2018-04-22
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Gibbs, Allison
Vera Hill
B: 1926-04-01
D: 2018-04-18
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Hill, Vera
Aubrey Messing
B: 1928-03-22
D: 2018-04-17
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Messing, Aubrey
Gavin Wallace
B: 2005-11-28
D: 2018-04-14
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Wallace, Gavin
Julia Young
B: 1951-08-07
D: 2018-04-13
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Young, Julia
Barbara Guy
B: 1959-01-23
D: 2018-04-13
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Guy, Barbara
Marjorie Mills
B: 1918-02-25
D: 2018-04-13
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Mills, Marjorie
Wayne Vose
B: 1946-12-18
D: 2018-04-11
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Vose, Wayne
John Curtis
B: 1929-09-01
D: 2018-04-08
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Curtis, John
Ronald Gendron
B: 1950-06-04
D: 2018-04-07
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Gendron, Ronald
John Dancer
B: 1948-03-08
D: 2018-04-02
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Dancer, John
Jeannette Spearing
B: 1952-08-20
D: 2018-03-24
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Spearing, Jeannette
Rita Leblanc
B: 1918-02-03
D: 2018-03-17
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Leblanc, Rita
Eileen Flanagan
B: 1949-08-14
D: 2018-03-16
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Flanagan, Eileen
Doris Grant
B: 1936-03-16
D: 2018-03-15
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Grant, Doris
Archie Stalcup
B: 1942-09-24
D: 2018-03-14
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Stalcup, Archie
Louise Kinney
B: 1921-04-09
D: 2018-03-12
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Kinney, Louise
Paul Mahonen
B: 1951-07-12
D: 2018-03-12
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Mahonen, Paul
Cynthia Packard
B: 1932-08-26
D: 2018-03-11
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Packard, Cynthia

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Bereavement Support Group

For anyone coping with the loss of a loved one. First Wednesdays, Monthly, 3:00pm - 4:30pm. Picker Family Resource Center, Rockport.

Pre-Arrangement

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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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