Obituaries

Grant McCray
B: 1939-05-11
D: 2017-09-20
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McCray, Grant
Nelson Giddings
B: 1955-04-19
D: 2017-09-20
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Giddings, Nelson
Claudius Rackliffe
B: 1930-06-02
D: 2017-09-19
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Rackliffe, Claudius
Dorothy Kilty
B: 1927-04-01
D: 2017-09-18
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Kilty, Dorothy
Ronald Cosgro
B: 1939-04-23
D: 2017-09-16
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Cosgro, Ronald
Charles Quimby
B: 1925-07-05
D: 2017-09-16
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Quimby, Charles
Anne Bolduc
B: 1942-12-05
D: 2017-09-15
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Bolduc, Anne
Carol Ludwin
B: 1924-09-16
D: 2017-09-15
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Ludwin, Carol
John Vamvilis
B: 1966-06-11
D: 2017-09-15
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Vamvilis, John
Joan Cass
B: 1928-04-23
D: 2017-09-15
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Cass, Joan
Robert Allevo
B: 1938-03-18
D: 2017-09-14
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Allevo, Robert
Robert McLaughlin
B: 1927-04-28
D: 2017-09-14
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McLaughlin, Robert
Jeffrey Galica
B: 1963-09-11
D: 2017-09-13
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Galica, Jeffrey
Robert Rivard
B: 1942-08-18
D: 2017-09-11
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Rivard, Robert
Gaetana Beltrandi
B: 1933-06-19
D: 2017-09-10
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Beltrandi, Gaetana
Nicholas Padrevita
B: 1949-01-13
D: 2017-09-09
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Padrevita, Nicholas
Anna Wright
B: 1917-01-30
D: 2017-09-08
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Wright, Anna
Mary Lou Borowski
B: 1939-07-07
D: 2017-09-06
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Borowski, Mary Lou
Ounheun Lengsavath
B: 1933-05-02
D: 2017-09-05
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Lengsavath, Ounheun
Patricia Feld
B: 1953-03-27
D: 2017-09-04
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Feld, Patricia
Robert Martin
B: 1935-11-14
D: 2017-09-03
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Martin, Robert

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P.O. Box 1094
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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:

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