Obituaries

June Gantnier
B: 1928-04-25
D: 2018-04-17
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Gantnier , June
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
Peter McGary
B: 1964-02-06
D: 2018-04-12
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McGary, Peter
Dana Foster
B: 1943-09-16
D: 2018-04-10
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Foster, Dana
Paul Bailey
B: 1937-05-13
D: 2018-04-10
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Bailey, Paul
John Berry
B: 1944-12-10
D: 2018-04-08
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Berry , John
Arnold Ballard
B: 1950-07-29
D: 2018-04-08
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Ballard , Arnold
Mary McLain
B: 1926-07-19
D: 2018-04-04
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McLain, Mary
Leigh Nason
B: 1959-05-07
D: 2018-04-03
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Nason , Leigh
Lawrence Dube
B: 1930-12-26
D: 2018-03-20
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Dube, Lawrence
Starr McAdam
B: 1941-11-12
D: 2018-03-16
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McAdam , Starr
Walter Whitlock
B: 1940-02-21
D: 2018-03-16
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Whitlock , Walter
Marilyn Hannigan
B: 1933-10-17
D: 2018-03-14
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Hannigan , Marilyn
John Steeves
B: 1930-01-09
D: 2018-03-14
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Steeves, John
Carl Guptill
B: 1947-07-10
D: 2018-03-11
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Guptill , Carl
Earl Cummings
B: 1929-07-04
D: 2018-03-10
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Cummings, Earl
Eugene Foster
B: 1934-04-23
D: 2018-03-05
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Foster , Eugene
Simon Cyr
B: 2016-09-23
D: 2018-03-03
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Cyr, Simon
Duane Davenport
B: 1952-07-22
D: 2018-02-19
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Davenport, Duane
Barbara McGuire
B: 1934-03-18
D: 2018-02-10
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McGuire, Barbara

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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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