Obituaries

Heidi Vaughan
B: 1978-08-25
D: 2019-02-17
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Vaughan, Heidi
Clayton Tardie
B: 1935-09-08
D: 2019-02-14
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Tardie, Clayton
Sarah Talevi
B: 1929-10-12
D: 2019-02-13
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Talevi, Sarah
Louis Savoie
B: 1950-03-22
D: 2019-02-12
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Savoie, Louis
Richard Rossi
B: 1930-06-01
D: 2019-02-11
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Rossi, Richard
Dianne "Dee" Marino
B: 1944-03-17
D: 2019-02-11
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Marino, Dianne "Dee"
Sheila Cobb
B: 1932-02-02
D: 2019-02-10
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Cobb, Sheila
Daniel Ticson
B: 1935-06-08
D: 2019-02-09
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Ticson, Daniel
Michael Provencher
B: 1954-08-19
D: 2019-02-09
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Provencher, Michael
Paul Lavigne
B: 1942-04-18
D: 2019-02-08
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Lavigne, Paul
George Saverse
B: 1935-10-13
D: 2019-02-03
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Saverse, George
Veverly Brown
B: 1951-09-17
D: 2019-02-03
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Brown, Veverly
Leonard Dion
B: 1939-08-23
D: 2019-02-01
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Dion, Leonard
Barbara Craika
B: 1931-07-24
D: 2019-02-01
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Craika, Barbara
Beverly Court
B: 1937-01-20
D: 2019-02-01
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Court, Beverly
Helen Kennedy
B: 1956-05-24
D: 2019-01-31
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Kennedy, Helen
Vincent Allard
B: 1945-07-30
D: 2019-01-31
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Allard, Vincent
Mark Ulitsch
B: 1960-01-08
D: 2019-01-29
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Ulitsch, Mark
Robert Montville
B: 1940-02-16
D: 2019-01-28
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Montville, Robert
Stella Adams
B: 1924-02-10
D: 2019-01-28
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Adams, Stella
Marie Ouellette
B: 1929-02-24
D: 2019-01-25
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Ouellette, Marie

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61 South Road
P.O. Box 1094
Enfield, CT 06082
Phone: 860-749-2244
Fax: 860-763-2815

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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:

Miscellaneous Notes and Instructions:

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