Diane Michaud
B: 1936-12-25
D: 2018-03-16
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Michaud, Diane
Muriel LaFountain
B: 1926-01-29
D: 2018-03-15
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LaFountain, Muriel
Glenna M. Cunningham
B: 1935-07-09
D: 2018-03-13
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Cunningham, Glenna M.
Myrtle Poland
B: 1934-11-03
D: 2018-03-13
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Poland, Myrtle
John Gott
B: 1937-12-24
D: 2018-03-13
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Gott, John
Francis Boudreau
B: 1929-04-12
D: 2018-03-13
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Boudreau, Francis
Jared Haslett
B: 1930-10-11
D: 2018-03-12
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Haslett, Jared
David Bryant
B: 1939-02-04
D: 2018-03-10
View Details
Bryant, David
Lorraine Harvey
B: 1928-07-25
D: 2018-03-09
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Harvey, Lorraine
Helen Krog
B: 1931-12-05
D: 2018-03-06
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Krog, Helen
Eleanor Pellerin
B: 1931-02-07
D: 2018-03-06
View Details
Pellerin, Eleanor
Bruce Trundy
B: 1933-12-27
D: 2018-03-06
View Details
Trundy, Bruce
Virginia Walker
B: 1924-10-15
D: 2018-03-05
View Details
Walker, Virginia
Muriel Wescott
B: 1924-01-22
D: 2018-03-02
View Details
Wescott, Muriel
Elizabeth Beal
B: 1925-07-27
D: 2018-03-01
View Details
Beal, Elizabeth
Phyllis Borns
B: 1930-05-23
D: 2018-02-27
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Borns, Phyllis
Barbara Dow
B: 1926-06-04
D: 2018-02-27
View Details
Dow, Barbara
Alice DiSalvatore
B: 1928-07-09
D: 2018-02-25
View Details
DiSalvatore, Alice
Richard Ward
B: 1927-06-05
D: 2018-02-25
View Details
Ward, Richard
Stanley Pyzynski
B: 1943-07-21
D: 2018-02-24
View Details
Pyzynski, Stanley
Dale Henderson
B: 1952-07-18
D: 2018-02-22
View Details
Henderson, Dale


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*When a Death Has Not Yet Occured*

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.

I. Biographical Information
Full Name:
City Name:
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
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:
Person in Charge of Arrangements:
Officiating Clergy:            
Flower Preference:            
Music Selection:            
Casket Preference:
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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Please place my information on file