Obituaries

Maxine Freese
B: 1921-05-14
D: 2020-09-27
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Freese, Maxine
Carrie Sabin
B: 1925-11-05
D: 2020-09-26
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Sabin, Carrie
George Fulcher
B: 1918-10-16
D: 2020-09-26
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Fulcher, George
Reginald Bowden
B: 1933-08-19
D: 2020-09-25
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Bowden, Reginald
Arthur Sites
B: 1925-01-08
D: 2020-09-23
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Sites, Arthur
Avon Munson
B: 1935-04-13
D: 2020-09-22
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Munson, Avon
Jenny Toothaker
B: 1952-10-01
D: 2020-09-22
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Toothaker, Jenny
Donald Hackett
B: 1928-07-04
D: 2020-09-20
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Hackett, Donald
John Robert Graham III
B: 1937-11-23
D: 2020-09-20
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Graham III, John Robert
John Gilbert
B: 1943-01-01
D: 2020-09-19
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Gilbert, John
Mary Fleming
B: 1934-06-29
D: 2020-09-18
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Fleming, Mary
Harry Whelden
B: 1924-07-12
D: 2020-09-16
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Whelden, Harry
Angela Fitzgerald
B: 1931-06-17
D: 2020-09-16
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Fitzgerald, Angela
Imogene Brightman
B: 1927-03-08
D: 2020-09-14
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Brightman, Imogene
Daniel Jennings
B: 1935-07-04
D: 2020-09-14
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Jennings, Daniel
Ann Day Krueger
B: 1934-08-13
D: 2020-09-13
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Krueger, Ann Day
Maynard Guerrette
B: 1940-08-19
D: 2020-09-13
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Guerrette, Maynard
Alan Leighton
B: 1949-03-04
D: 2020-09-12
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Leighton, Alan
Nelson Durgin
B: 1937-06-23
D: 2020-09-11
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Durgin, Nelson
Shanley Leighton
B: 1997-05-25
D: 2020-09-11
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Leighton, Shanley
Robert Ingles
B: 1948-01-28
D: 2020-09-09
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Ingles, Robert

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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:

         

             

       

Please select one of the options below:

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Please place my information on file