Obituaries

Doris Zumbroski
B: 1925-05-16
D: 2018-01-14
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Zumbroski, Doris
William Baer
B: 1926-01-27
D: 2018-01-02
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Baer, William
James Vassallo
B: 1925-05-04
D: 2018-01-01
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Vassallo, James
Andrew Lewicki
B: 1947-06-07
D: 2017-12-31
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Lewicki, Andrew
Matthew Weiss
B: 1976-07-01
D: 2017-12-29
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Weiss, Matthew
Bonnie Quinn
B: 1945-12-04
D: 2017-12-26
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Quinn, Bonnie
Lottie Jutton
B: 1921-11-12
D: 2017-12-24
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Jutton, Lottie
Lois Oelrich
B: 1926-06-14
D: 2017-12-23
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Oelrich, Lois
Christopher Patnode
B: 1985-10-24
D: 2017-12-23
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Patnode, Christopher
Joan "Terry" DeWeese
B: 1946-07-14
D: 2017-12-21
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DeWeese, Joan "Terry"
Barbara Taylor
B: 1932-07-03
D: 2017-12-19
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Taylor, Barbara
Audrey Baker
B: 1923-09-18
D: 2017-12-18
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Baker, Audrey
Harry Ritson
B: 1929-09-03
D: 2017-12-16
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Ritson, Harry
Florence Lane
B: 1925-07-07
D: 2017-12-15
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Lane, Florence
Stephen Hoffsis
B: 1984-03-20
D: 2017-12-13
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Hoffsis, Stephen
Jean Kibbe
B: 1929-11-12
D: 2017-12-12
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Kibbe, Jean
Heristine Conaway
B: 1944-09-18
D: 2017-12-12
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Conaway, Heristine
Vincent Santangelo
B: 1923-09-01
D: 2017-12-12
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Santangelo, Vincent
Delia Dunn
B: 1938-09-22
D: 2017-12-10
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Dunn, Delia
John Flattery
B: 1941-08-11
D: 2017-12-09
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Flattery, John
Agnes Looney
B: 1922-12-07
D: 2017-12-05
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Looney, Agnes

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P.O. Box 335
Simsbury, CT 06070
Phone: 860-658-7613
Fax: 860-651-0476

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I. Biographical Information

Full Name:
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 You In Death
Your 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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