Obituaries

Nancy Caron
B: 1956-03-07
D: 2019-02-15
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Caron , Nancy
Ervin Smith
B: 1933-11-16
D: 2019-02-15
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Smith , Ervin
Charlotte Rogers
B: 1942-04-29
D: 2019-02-14
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Rogers , Charlotte
Travis Sirois
B: 1968-12-05
D: 2019-02-13
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Sirois, Travis
Pearl Grant
B: 1936-04-21
D: 2019-02-12
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Grant , Pearl
Paul Romanelli
B: 1946-09-25
D: 2019-02-09
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Romanelli , Paul
Millicent Dion
B: 1932-01-16
D: 2019-02-05
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Dion , Millicent
Walton O'Roak
B: 1922-03-11
D: 2019-02-03
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O'Roak , Walton
Donna Estabrook
B: 1929-03-14
D: 2019-02-03
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Estabrook , Donna
Marcus McCarthy
D: 2019-02-02
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McCarthy, Marcus
Christine McDonald
B: 1958-04-21
D: 2019-02-02
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McDonald, Christine
John Smith
D: 2019-02-02
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Smith , John
Dale Goodman
D: 2019-02-01
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Goodman, Dale
Terrance Lee
B: 1946-04-04
D: 2019-01-30
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Lee, Terrance
Marjorie Swallow
B: 1926-12-18
D: 2019-01-27
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Swallow , Marjorie
Delmar Sewell
B: 1951-11-03
D: 2019-01-26
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Sewell , Delmar
Colleen Martin
B: 1937-08-03
D: 2019-01-25
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Martin, Colleen
Jefferey Emery
B: 1978-10-25
D: 2019-01-22
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Emery , Jefferey
John Anderson
B: 1933-10-07
D: 2019-01-21
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Anderson , John
Helene Cote
B: 1944-10-09
D: 2019-01-21
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Cote , Helene
Francena Masotta
B: 1933-08-12
D: 2019-01-15
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Masotta, Francena

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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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