Obituaries

Shirley Keyes
B: 1933-05-19
D: 2017-12-04
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Keyes, Shirley
Scott Frayne
B: 1963-02-17
D: 2017-11-30
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Frayne, Scott
Margaret Hynes
B: 1943-08-31
D: 2017-11-27
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Hynes, Margaret
William Mathers
B: 1937-04-05
D: 2017-11-24
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Mathers, William
Verbena Willert
B: 1931-05-19
D: 2017-11-21
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Willert, Verbena
Philip Carmichael
B: 1983-04-02
D: 2017-11-18
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Carmichael, Philip
Frederick Allison
B: 1939-01-16
D: 2017-11-17
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Allison, Frederick
Paula Brophey
B: 1968-03-25
D: 2017-11-05
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Brophey, Paula
Annie Haddock
B: 1919-12-14
D: 2017-10-27
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Haddock, Annie
Jerome Spruytte
B: 1935-08-24
D: 2017-10-26
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Spruytte, Jerome
William Goudy
B: 1919-05-14
D: 2017-10-22
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Goudy, William
Pat Bice
B: 1934-11-11
D: 2017-10-22
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Bice, Pat
August Van Massenhoven
B: 1935-01-10
D: 2017-10-18
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Van Massenhoven, August
Gordon Harkness
B: 1926-11-01
D: 2017-10-15
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Harkness, Gordon
Dustin Wolfe
B: 1993-08-16
D: 2017-10-10
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Wolfe, Dustin
Martina Glavin
B: 1927-04-06
D: 2017-10-07
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Glavin, Martina
Emile Masschelein
B: 1928-10-15
D: 2017-10-05
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Masschelein, Emile
Adriana Roelands
B: 1931-07-07
D: 2017-09-30
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Roelands, Adriana
Keith Gayler
B: 1924-05-21
D: 2017-09-29
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Gayler, Keith
Robert Byrns
B: 1934-05-22
D: 2017-09-29
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Byrns, Robert
Gladys Beierling
B: 1924-08-29
D: 2017-09-27
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Beierling, Gladys

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
Province/Territory:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
Province/Territory of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Insurance 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:

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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