Obituaries

Sharon Allen
B: 1946-08-20
D: 2017-03-22
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Allen, Sharon
Susan Talbot
B: 1957-01-10
D: 2017-03-19
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Talbot, Susan
Gordon Stanley
B: 1921-04-26
D: 2017-03-17
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Stanley, Gordon
Charles Whalen
B: 1921-10-20
D: 2017-03-17
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Whalen, Charles
Barbara Moore
B: 1926-11-17
D: 2017-03-16
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Moore, Barbara
Charlotte Johnson
B: 1927-04-15
D: 2017-03-15
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Johnson, Charlotte
Edward Sullivan
B: 1921-09-07
D: 2017-03-14
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Sullivan, Edward
Edward Rogers
B: 1968-03-30
D: 2017-03-14
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Rogers, Edward
John Lloyd
B: 1929-02-27
D: 2017-03-13
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Lloyd, John
Fred Verrill
B: 1927-09-21
D: 2017-03-13
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Verrill, Fred
Bernard Jackson
B: 1920-01-30
D: 2017-03-10
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Jackson, Bernard
Elinor Winslow
B: 1922-03-13
D: 2017-03-10
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Winslow, Elinor
Nancy Spooner
B: 1928-06-15
D: 2017-03-07
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Spooner, Nancy
Frederick Gnade
B: 1955-11-21
D: 2017-03-06
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Gnade, Frederick
Robert Lavoie
B: 1942-08-05
D: 2017-03-02
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Lavoie, Robert
Evelyn Hemphill
B: 1930-03-29
D: 2017-03-01
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Hemphill, Evelyn
Paul Watts
B: 1932-12-24
D: 2017-02-28
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Watts, Paul
Norma Lloyd
B: 1921-09-26
D: 2017-02-26
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Lloyd, Norma
Charlotte Goodhue
B: 1943-02-11
D: 2017-02-25
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Goodhue, Charlotte
Cindy Cookson
B: 1959-09-03
D: 2017-02-25
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Cookson, Cindy
Arnold Drinkwater
B: 1934-04-05
D: 2017-02-25
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Drinkwater, Arnold

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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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