Obituaries

Jordan Parkhurst
B: 2002-04-29
D: 2019-11-16
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Parkhurst, Jordan
Thomas Rockwell, Sr.
B: 1956-03-12
D: 2019-11-15
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Rockwell, Sr., Thomas
Meghan Fellis
B: 1972-11-10
D: 2019-11-15
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Fellis, Meghan
John Clark
B: 1945-12-07
D: 2019-11-14
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Clark, John
Robert Garside
B: 1955-03-20
D: 2019-11-14
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Garside, Robert
Robert Pierce
B: 1962-03-05
D: 2019-11-12
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Pierce, Robert
Milton E. "Uncle Milty" Alley
B: 1944-08-03
D: 2019-11-10
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Alley, Milton E. "Uncle Milty"
Virginia Heald
B: 1927-02-11
D: 2019-11-09
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Heald, Virginia
Malcolm Shapiro
B: 1928-01-19
D: 2019-11-08
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Shapiro, Malcolm
Kenneth Merrill
B: 1938-09-22
D: 2019-11-05
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Merrill, Kenneth
Jean Maynard
B: 1923-01-31
D: 2019-11-04
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Maynard, Jean
Laurence Henry Morse
B: 1926-08-13
D: 2019-11-04
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Morse, Laurence Henry
Josephine Benedetto
B: 1929-05-05
D: 2019-11-03
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Benedetto, Josephine
Christopher "Tiffah" Harris Holyoke
B: 1978-01-24
D: 2019-10-30
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Holyoke, Christopher "Tiffah" Harris
Corinne Goodell
B: 1929-01-25
D: 2019-10-29
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Goodell, Corinne
Robert "Bob" Higgins
B: 1928-03-08
D: 2019-10-28
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Higgins, Robert "Bob"
Alan Weeks
B: 1929-06-19
D: 2019-10-28
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Weeks, Alan
Ethel L. Shedd
B: 1938-02-27
D: 2019-10-27
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Shedd, Ethel L.
Patricia Sweeney
B: 1960-09-02
D: 2019-10-27
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Sweeney, Patricia
Vianney L. "Vinny" Soucy
B: 1963-03-15
D: 2019-10-27
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Soucy, Vianney L. "Vinny"
Ulrike Kozak
D: 2019-10-26
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Kozak, Ulrike

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I. Biographical Information
Full Name:
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 You In Death            
Your 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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