Obituaries

Michael Maynard
B: 1958-03-19
D: 2025-06-07
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Maynard, Michael
Michelle Segur
B: 1957-04-22
D: 2025-05-31
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Segur, Michelle
Luis Cargiulo
B: 1930-04-30
D: 2025-05-31
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Cargiulo, Luis
Owen Smith
D: 2025-05-28
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Smith, Owen
Marion Mangano
B: 1935-04-18
D: 2025-05-26
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Mangano, Marion
Clayton Randall
B: 1963-11-05
D: 2025-05-23
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Randall, Clayton
Jonathan LaCour
B: 1989-01-07
D: 2025-05-22
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LaCour, Jonathan
Robert Schroeder
B: 1939-09-17
D: 2025-05-21
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Schroeder, Robert
James Torrey
B: 1958-01-25
D: 2025-05-14
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Torrey, James
Charles Jackles
B: 1958-07-17
D: 2025-05-08
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Jackles, Charles
Timothy Murphy
B: 1943-03-24
D: 2025-05-07
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Murphy, Timothy
Todd Stacy
B: 1968-07-18
D: 2025-05-06
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Stacy, Todd
Raymond Paquin
B: 1964-05-18
D: 2025-05-06
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Paquin, Raymond
James DeOrsey
B: 1960-03-13
D: 2025-05-04
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DeOrsey, James
Emily Davidson
B: 1949-05-25
D: 2025-04-23
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Davidson, Emily
Dolores Desrosiers
B: 1945-12-13
D: 2025-04-22
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Desrosiers, Dolores
Gene Kapuscienski
B: 1959-12-18
D: 2025-04-20
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Kapuscienski, Gene
Anne Coon
B: 1926-12-19
D: 2025-04-15
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Coon, Anne
James Graves
B: 1936-10-11
D: 2025-04-14
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Graves, James
Jane Kempskie
B: 1931-07-08
D: 2025-04-10
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Kempskie, Jane
Marianne Bournazian
B: 1965-08-18
D: 2025-03-29
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Bournazian, Marianne

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152 Worcester Street
PO Box 75
North Grafton, MA 01536
Phone: (508) 839-4491
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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:
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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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