Obituaries

Gloria Botting
B: 1938-03-25
D: 2020-08-01
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Botting, Gloria
Aline Dube
B: 1939-06-14
D: 2020-08-01
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Dube, Aline
Russell Rock
B: 1945-09-06
D: 2020-07-29
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Rock, Russell
Wendell Field
B: 1936-05-29
D: 2020-07-27
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Field, Wendell
Marion Donovan
B: 1922-10-20
D: 2020-07-21
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Donovan, Marion
Wallace Harvey
B: 1932-10-28
D: 2020-07-17
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Harvey, Wallace
Heidi Nason
B: 1972-07-10
D: 2020-07-16
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Nason, Heidi
Arthur Howell
B: 1941-02-11
D: 2020-07-09
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Howell, Arthur
Adrienne Bartlett
B: 1925-06-12
D: 2020-07-01
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Bartlett, Adrienne
Marilyn McNally
B: 1927-10-25
D: 2020-06-30
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McNally, Marilyn
Anita Thornton
B: 1944-04-18
D: 2020-06-27
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Thornton, Anita
Jackolyn Hancock
B: 1939-09-08
D: 2020-06-27
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Hancock, Jackolyn
Stephen Giles
B: 1964-07-11
D: 2020-06-24
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Giles, Stephen
Mary Kelly
B: 1924-01-17
D: 2020-06-21
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Kelly, Mary
Donald McNally
B: 1948-06-10
D: 2020-06-20
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McNally, Donald
Kris Watson
B: 1954-01-31
D: 2020-06-14
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Watson, Kris
Merlin Morse
B: 1935-03-24
D: 2020-06-06
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Morse, Merlin
Olive Tarr
B: 1935-12-21
D: 2020-06-06
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Tarr, Olive
James McCordic
B: 1942-02-01
D: 2020-06-04
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McCordic, James
Paul LaPointe
B: 1950-01-20
D: 2020-05-28
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LaPointe, Paul
Geraldine Rairdon
B: 1934-12-20
D: 2020-05-19
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Rairdon, Geraldine

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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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