Obituaries

Barbara Drost
B: 1927-02-27
D: 2020-06-04
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Drost, Barbara
Beverley Stewert
B: 1935-08-27
D: 2020-05-29
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Stewert, Beverley
Donald Fay
B: 1929-08-10
D: 2020-05-27
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Fay, Donald
Gordon Mead
B: 1932-11-26
D: 2020-05-27
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Mead, Gordon
Edna Hills
B: 1945-06-05
D: 2020-05-20
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Hills, Edna
Ronald Ficara
B: 1952-10-06
D: 2020-05-19
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Ficara, Ronald
Arthur Jensen
B: 1962-01-18
D: 2020-05-17
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Jensen, Arthur
Patricia Sieber
B: 1934-08-12
D: 2020-05-17
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Sieber, Patricia
Henry Walker
B: 1934-08-06
D: 2020-05-14
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Walker, Henry
Michael Giuca
B: 1955-03-07
D: 2020-05-14
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Giuca, Michael
Uenda Hicking
B: 1927-11-16
D: 2020-05-13
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Hicking, Uenda
Faith McCusker
B: 1928-04-19
D: 2020-05-13
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McCusker, Faith
Francis Phillips
B: 1921-10-04
D: 2020-05-12
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Phillips, Francis
Maureen Downs
B: 1937-03-30
D: 2020-05-08
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Downs, Maureen
William Glenney
B: 1946-06-09
D: 2020-05-05
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Glenney, William
Aileen Halloran
B: 1953-10-09
D: 2020-05-05
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Halloran, Aileen
Mary DeLong-Zinky
B: 1941-10-09
D: 2020-05-04
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DeLong-Zinky, Mary
Donald Raczkowski
B: 1934-06-22
D: 2020-05-04
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Raczkowski , Donald
Annette Clements
B: 1964-07-09
D: 2020-05-01
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Clements, Annette
Malda Raczkowski
B: 1937-12-16
D: 2020-04-30
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Raczkowski, Malda
Scott Yeager
B: 1968-02-08
D: 2020-04-30
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Yeager, Scott

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Phone: (860) 875-5490
Fax: (860) 872-8200

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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:

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