Obituaries

Elsie Locke
B: 1931-08-10
D: 2018-07-17
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Locke, Elsie
Martha LeDuc
B: 1926-12-31
D: 2018-07-16
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LeDuc, Martha
Michael Fenton
B: 1960-07-20
D: 2018-07-16
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Fenton, Michael
Theresa Hopkins
B: 1924-11-26
D: 2018-07-16
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Hopkins, Theresa
Thomas Riley
B: 1930-10-18
D: 2018-07-15
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Riley, Thomas
Robert Taylor
D: 2018-07-15
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Taylor, Robert
Lorraine Opito
B: 1924-09-13
D: 2018-07-13
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Opito, Lorraine
Thomas Gwiazda
B: 1958-09-10
D: 2018-07-12
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Gwiazda, Thomas
Gaetana Colombi
B: 1928-09-03
D: 2018-07-11
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Colombi, Gaetana
Angelina Dessaint
B: 1923-12-15
D: 2018-07-11
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Dessaint, Angelina
Alma Mead
B: 1933-06-14
D: 2018-07-11
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Mead, Alma
Norman Twitchell
B: 1927-04-07
D: 2018-07-11
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Twitchell, Norman
Margaret Remotti
B: 1949-12-07
D: 2018-07-07
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Remotti, Margaret
Ethel Debonis
B: 1936-03-03
D: 2018-07-06
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Debonis, Ethel
Charlene Johnson
B: 1999-12-23
D: 2018-07-06
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Johnson, Charlene
Lawrence Paul
B: 1941-02-12
D: 2018-07-06
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Paul, Lawrence
Sharon Torrant
B: 1950-11-18
D: 2018-07-01
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Torrant, Sharon
Steven Pisieczko
B: 1956-01-26
D: 2018-07-01
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Pisieczko, Steven
John Bailey
B: 1957-09-06
D: 2018-06-30
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Bailey, John
Destiny and Azalea Martinez Goulet
B: 2001-09-11
D: 2018-06-29
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Goulet, Destiny and Azalea Martinez
Elizabeth Merovonich
B: 1938-04-14
D: 2018-06-28
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Merovonich, Elizabeth

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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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