Obituaries

Jacqueline Shouldice
B: 1963-02-01
D: 2019-01-22
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Shouldice, Jacqueline
Barbara Matyia
B: 1936-10-26
D: 2019-01-21
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Matyia, Barbara
Rita Sirois
B: 1942-05-20
D: 2019-01-20
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Sirois, Rita
James Shea
B: 1925-05-25
D: 2019-01-19
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Shea, James
Donna Mulnite
B: 1943-06-21
D: 2019-01-17
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Mulnite, Donna
Shelia Cignetti
B: 1941-07-05
D: 2019-01-13
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Cignetti, Shelia
Nicholas Mayer
B: 1999-03-04
D: 2019-01-09
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Mayer, Nicholas
Nicole Shane
B: 1982-02-22
D: 2019-01-09
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Shane, Nicole
Richard Jette
B: 1935-02-16
D: 2019-01-08
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Jette, Richard
William Wasilefsky
B: 1939-09-07
D: 2019-01-08
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Wasilefsky, William
Elizabeth Horan
B: 1918-01-01
D: 2019-01-07
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Horan, Elizabeth
Thomas Dooley
B: 1934-09-22
D: 2019-01-07
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Dooley, Thomas
Donald Teske
B: 1933-01-05
D: 2019-01-02
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Teske, Donald
Raymond Boutin
B: 1938-05-15
D: 2019-01-01
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Boutin, Raymond
Edward Stramel
B: 1935-07-09
D: 2018-12-31
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Stramel, Edward
Esther Davies
B: 1928-08-16
D: 2018-12-27
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Davies, Esther
Robert Menard
B: 1931-02-17
D: 2018-12-27
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Menard, Robert
Stella Meyer
B: 1922-04-14
D: 2018-12-24
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Meyer, Stella
Michael Tardif
B: 1980-01-29
D: 2018-12-24
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Tardif, Michael
George Lynch
B: 1935-08-18
D: 2018-12-21
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Lynch, George
Virginia Dailey
B: 1933-07-24
D: 2018-12-19
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Dailey, Virginia

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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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