Obituaries

Doris Ingraham
B: 1940-03-07
D: 2018-06-15
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Ingraham, Doris
Tonya Leach
B: 1981-05-28
D: 2018-06-11
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Leach, Tonya
James Young
B: 1920-11-17
D: 2018-06-09
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Young , James
Morgan Hall
B: 1990-07-06
D: 2018-06-08
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Hall , Morgan
Richard Brackett
B: 1929-12-15
D: 2018-06-08
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Brackett , Richard
Dannie Bartlett
B: 1940-05-08
D: 2018-06-06
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Bartlett, Dannie
Mable Hagerman
B: 1929-05-23
D: 2018-06-01
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Hagerman, Mable
James Crawford
B: 1929-08-18
D: 2018-05-29
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Crawford, James
Elizabeth Campbell
B: 1940-02-24
D: 2018-05-19
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Campbell , Elizabeth
Anson Taber
B: 1928-04-02
D: 2018-05-16
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Taber, Anson
Donald Pelkey
D: 2018-05-11
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Pelkey , Donald
Margaret Qualey
B: 1919-11-06
D: 2018-05-01
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Qualey , Margaret
Andrew Lane
B: 1973-06-13
D: 2018-04-30
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Lane , Andrew
William Walton
B: 1943-07-01
D: 2018-04-28
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Walton , William
Jason Monarca
B: 1979-03-13
D: 2018-04-25
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Monarca, Jason
Anthony Gillotti
B: 1922-04-19
D: 2018-04-20
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Gillotti, Anthony
June Gantnier
B: 1928-04-25
D: 2018-04-17
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Gantnier , June
Roger Flewelling
B: 1955-01-06
D: 2018-04-17
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Flewelling , Roger
E. Mitchell
B: 1921-05-22
D: 2018-04-17
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Mitchell , E.
Delbert Botting
B: 1931-07-14
D: 2018-04-14
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Botting , Delbert
James Duncklee
B: 1957-11-22
D: 2018-04-14
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Duncklee, James

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Houlton, ME 04730
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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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