Obituaries

Elizabeth Curry
B: 1932-03-20
D: 2017-12-09
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Curry, Elizabeth
Rodney J. Cyr
B: 1939-10-28
D: 2017-12-08
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Cyr, Rodney J.
Barbara Sale
B: 1954-11-14
D: 2017-12-08
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Sale, Barbara
Susan Warren
B: 1937-10-10
D: 2017-12-06
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Warren, Susan
Jean Beaumont
B: 1934-11-20
D: 2017-12-05
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Beaumont, Jean
Rachel Rich
B: 1936-05-30
D: 2017-12-04
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Rich, Rachel
Charles Gillmor
B: 1939-05-29
D: 2017-12-04
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Gillmor, Charles
Rita Maxsimic
B: 1929-03-07
D: 2017-12-04
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Maxsimic, Rita
Betty Louise Randall
B: 1932-11-06
D: 2017-12-04
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Randall, Betty Louise
Delbert N. Springer
B: 1945-07-25
D: 2017-12-04
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Springer, Delbert N.
Margaret McGinley
B: 1928-08-09
D: 2017-12-04
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McGinley, Margaret
E. Peters
B: 1921-11-19
D: 2017-12-03
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Peters, E.
Margharetta Beitzell
B: 1928-08-30
D: 2017-12-03
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Beitzell, Margharetta
Herbert Frost
B: 1946-07-07
D: 2017-12-01
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Frost, Herbert
Marceline Iris "Marcia" Cook
B: 1931-02-25
D: 2017-11-28
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Cook, Marceline Iris "Marcia"
Jean Spencer
B: 1935-11-08
D: 2017-11-28
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Spencer, Jean
Frederick Lawless
B: 1933-03-14
D: 2017-11-27
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Lawless, Frederick
Col. James Elliott, Jr.
B: 1951-02-24
D: 2017-11-24
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Elliott, Jr., Col. James
Nancy Deborah Poitras
B: 1940-10-21
D: 2017-11-24
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Poitras, Nancy Deborah
Marvin Glazier
B: 1944-12-11
D: 2017-11-23
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Glazier, Marvin
Stephen McQuarrie
B: 1947-06-27
D: 2017-11-23
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McQuarrie, Stephen

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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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