Obituaries

Joann Terry
B: 1943-10-23
D: 2017-08-16
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Terry, Joann
Roy Koehler
B: 1938-08-14
D: 2017-08-16
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Koehler, Roy
Thomas Tambling
B: 1953-12-02
D: 2017-08-14
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Tambling, Thomas
Barbara Morrill
B: 1942-01-04
D: 2017-08-12
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Morrill, Barbara
Theresa Melesko
B: 1928-06-04
D: 2017-08-12
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Melesko, Theresa
Anna Martocchio
B: 1939-05-06
D: 2017-08-12
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Martocchio, Anna
Janice Trapp
B: 1950-01-02
D: 2017-08-08
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Trapp, Janice
Constance Gassner
B: 1932-04-24
D: 2017-08-06
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Gassner, Constance
Edward Bolles
B: 1931-01-25
D: 2017-08-05
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Bolles, Edward
David Hewitt
B: 1970-02-20
D: 2017-08-04
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Hewitt, David
Jeanne Sojka
B: 1926-12-22
D: 2017-08-01
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Sojka, Jeanne
Stephen Welch
B: 1936-04-05
D: 2017-07-31
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Welch, Stephen
Edward Norris
B: 1949-05-22
D: 2017-07-29
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Norris, Edward
William Spivey
B: 1950-08-30
D: 2017-07-26
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Spivey, William
Barbara Buttafuso
B: 1942-11-01
D: 2017-07-25
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Buttafuso, Barbara
Laura Hobbs
B: 1947-06-08
D: 2017-07-24
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Hobbs, Laura
James Crabb
B: 1963-06-26
D: 2017-07-22
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Crabb, James
Lance Lasher
B: 1939-03-03
D: 2017-07-22
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Lasher, Lance
Kathleen Dovhan
B: 1941-10-10
D: 2017-07-20
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Dovhan, Kathleen
David Goodwin
B: 1950-08-29
D: 2017-07-17
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Goodwin, David
Marie Fouquette
B: 1943-09-04
D: 2017-07-17
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Fouquette, Marie

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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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