Obituaries

Michael Rowe
B: 1952-06-04
D: 2017-10-19
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Rowe, Michael
Georgianna Nichols
B: 1932-06-05
D: 2017-10-17
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Nichols, Georgianna
Pearl Barufaldi
B: 1915-11-23
D: 2017-10-17
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Barufaldi, Pearl
Gilbert Koss
B: 1942-09-17
D: 2017-10-17
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Koss, Gilbert
Florence Marr
B: 1928-03-13
D: 2017-10-17
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Marr, Florence
Bernadette Hendershot
B: 1926-03-13
D: 2017-10-15
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Hendershot, Bernadette
Jennie Roy
B: 1928-09-06
D: 2017-10-13
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Roy, Jennie
Ernest Kowalski, Jr.
B: 1958-02-14
D: 2017-10-12
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Kowalski, Jr., Ernest
Kazimiera Kowalski
B: 1930-01-16
D: 2017-10-12
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Kowalski, Kazimiera
Mary Barberi
B: 1917-03-25
D: 2017-10-11
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Barberi, Mary
Ruth Engelke
B: 1928-03-01
D: 2017-10-10
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Engelke, Ruth
Marina Rodriguez
B: 1961-12-26
D: 2017-10-08
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Rodriguez, Marina
Thomas Wyse
B: 1963-11-10
D: 2017-10-08
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Wyse, Thomas
Theresa Charette
B: 1938-09-30
D: 2017-10-08
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Charette, Theresa
Maurice Laframboise
B: 1921-11-29
D: 2017-10-06
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Laframboise, Maurice
Alberta Welch
B: 1926-06-16
D: 2017-10-05
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Welch, Alberta
Carol Powers
B: 1919-05-06
D: 2017-10-04
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Powers, Carol
Bertha Talbot
B: 1923-12-11
D: 2017-10-04
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Talbot, Bertha
Charles Franklin
B: 1964-09-12
D: 2017-10-04
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Franklin, Charles
Teresa Rush
B: 1926-10-21
D: 2017-10-03
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Rush, Teresa
Gregory Buell
B: 1942-04-05
D: 2017-10-02
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Buell, Gregory

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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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