Obituaries

Diane Roman
B: 1943-01-18
D: 2018-09-12
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Roman, Diane
Gertrude Morell
B: 1929-02-04
D: 2018-09-10
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Morell, Gertrude
Lucille Masterson
B: 1934-05-31
D: 2018-09-10
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Masterson, Lucille
John Pettinato
B: 1959-12-02
D: 2018-09-08
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Pettinato, John
JoAnn Perrina
B: 1945-10-22
D: 2018-09-07
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Perrina, JoAnn
David Perron
B: 1959-06-16
D: 2018-09-03
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Perron, David
Mary Clements
B: 1945-08-12
D: 2018-09-01
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Clements, Mary
Helen Stetson
B: 1935-02-11
D: 2018-08-31
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Stetson, Helen
Elizabeth Symonds
B: 1936-09-04
D: 2018-08-30
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Symonds, Elizabeth
Marie Duval
B: 1941-04-07
D: 2018-08-29
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Duval, Marie
Mildred Kovalevich
B: 1924-12-02
D: 2018-08-28
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Kovalevich, Mildred
Richard DeBour
B: 1966-08-11
D: 2018-08-17
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DeBour, Richard
Leo Blankhorn
B: 1935-04-03
D: 2018-08-14
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Blankhorn, Leo
David Miller
B: 1993-11-14
D: 2018-08-14
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Miller, David
Victor Cohun
B: 1944-12-04
D: 2018-08-12
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Cohun, Victor
Harold Sykes
B: 1937-02-18
D: 2018-08-12
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Sykes, Harold
Dorothy Wnuk
B: 1934-08-03
D: 2018-08-11
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Wnuk, Dorothy
Russell Harrington
B: 1943-02-25
D: 2018-08-11
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Harrington, Russell
Katherine Gagnon
B: 1949-08-19
D: 2018-08-07
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Gagnon, Katherine
Henry Butler
B: 1917-03-26
D: 2018-08-05
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Butler, Henry
John Murphy
B: 1918-06-10
D: 2018-08-01
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Murphy, John

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Phone: (860) 875-5490
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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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