Obituaries

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
Suzanne Van Ekeren
B: 1963-03-28
D: 2017-09-26
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Van Ekeren, Suzanne
Doris Glenn
B: 1920-09-27
D: 2017-09-25
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Glenn, Doris
Orval Romphf
B: 1932-05-16
D: 2017-09-24
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Romphf, Orval
Kay Gilbert
B: 1927-11-27
D: 2017-09-23
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Gilbert, Kay
Maureen Craig
B: 1961-10-11
D: 2017-09-21
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Craig, Maureen
George Hewitt
B: 1920-09-11
D: 2017-09-19
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Hewitt, George
Pacita Weston
B: 1940-12-07
D: 2017-09-19
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Weston, Pacita
Arthur Evoy
B: 1925-08-22
D: 2017-09-13
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Evoy, Arthur
David Bressette
B: 1969-06-01
D: 2017-09-07
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Bressette, David
Lloyd Thompson
B: 1923-12-24
D: 2017-09-07
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Thompson, Lloyd
Mabel McChesney
B: 1923-11-10
D: 2017-09-04
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McChesney, Mabel
Lee Temple
B: 1967-11-14
D: 2017-09-02
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Temple, Lee
Donna Jefferson
B: 1940-04-01
D: 2017-08-29
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Jefferson, Donna
Linda Riley
B: 1951-04-16
D: 2017-08-27
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Riley, Linda

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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:

Miscellaneous Notes and Instructions:

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