Obituaries

Lona MacKenzie
B: 1923-03-29
D: 2017-08-04
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MacKenzie, Lona
Rowena Qualey
B: 1927-09-22
D: 2017-08-01
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Qualey , Rowena
Philip Nason
B: 1937-07-19
D: 2017-08-01
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Nason , Philip
Doris Wolhaupter
B: 1923-08-22
D: 2017-07-31
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Wolhaupter, Doris
Kevin Merry
B: 1964-03-26
D: 2017-07-30
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Merry , Kevin
Martin Qualey
B: 1984-02-16
D: 2017-07-24
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Qualey, Martin
Kimberly Dion
B: 1970-04-06
D: 2017-07-22
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Dion , Kimberly
Russell Williams
B: 1968-10-03
D: 2017-07-20
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Williams , Russell
Virginia Andrews
B: 1929-03-19
D: 2017-07-17
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Andrews , Virginia
Morris Cole
B: 1932-06-11
D: 2017-07-16
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Cole , Morris
Shawn Mayo
B: 1972-01-13
D: 2017-07-16
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Mayo , Shawn
George French
D: 2017-07-15
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French , George
George French
B: 1975-12-03
D: 2017-07-15
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French , George
Diane Gary
B: 1954-08-15
D: 2017-07-10
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Gary , Diane
William Barnett
B: 1921-03-31
D: 2017-07-07
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Barnett, William
Bernard Sennett
B: 1949-06-09
D: 2017-07-04
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Sennett, Bernard
Annie Saunders
B: 1925-08-16
D: 2017-07-03
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Saunders , Annie
Joyce Hayes
B: 1938-01-07
D: 2017-07-01
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Hayes , Joyce
Betty Marley
B: 1931-02-16
D: 2017-06-28
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Marley , Betty
Daniel Shannon
B: 1970-12-23
D: 2017-06-21
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Shannon, Daniel
Reginald Watson
B: 1942-08-15
D: 2017-06-18
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Watson, Reginald

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PO Box 579
Houlton, ME 04730
Phone: (207) 532-3333
Fax: (207) 532-4447

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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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Please place my information on file


 

 

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