Obituaries

Wendell Stacey
B: 1931-01-21
D: 2018-10-11
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Stacey, Wendell
Ivan Feltz
B: 1936-04-29
D: 2018-10-10
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Feltz, Ivan
William Kelly
B: 1923-09-20
D: 2018-10-07
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Kelly, William
Judith Schaefer
B: 1948-09-06
D: 2018-10-03
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Schaefer, Judith
Christine Smith
B: 1954-06-24
D: 2018-10-03
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Smith, Christine
Hudson Wolfe
B: 2017-02-25
D: 2018-10-01
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Wolfe, Hudson
Reta Davis
B: 1927-09-11
D: 2018-09-22
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Davis, Reta
Gordon Young
B: 1938-07-08
D: 2018-09-13
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Young, Gordon
Rudolph Marquardt
B: 1933-08-22
D: 2018-09-12
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Marquardt, Rudolph
Lloyd Feltz
B: 1936-12-25
D: 2018-09-04
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Feltz, Lloyd
Bernadette Phillis
B: 1947-06-16
D: 2018-09-04
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Phillis, Bernadette
Walter McFadden
B: 1927-08-22
D: 2018-09-01
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McFadden, Walter
Savanah Cook
B: 2000-11-02
D: 2018-08-26
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Cook, Savanah
Alexina Bardecki
B: 1923-06-11
D: 2018-08-22
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Bardecki, Alexina
Vera Wickie
B: 1919-11-10
D: 2018-08-11
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Wickie, Vera
James Tubb
B: 1935-01-07
D: 2018-08-10
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Tubb, James
Larry Rowland
B: 1942-12-18
D: 2018-08-09
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Rowland, Larry
Mackie Hooper
B: 1928-09-27
D: 2018-08-08
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Hooper, Mackie
Kenneth Gethke
B: 1939-03-31
D: 2018-08-06
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Gethke, Kenneth
Mabel Regan
B: 1936-09-21
D: 2018-08-03
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Regan, Mabel
Ruth Dodier
B: 1947-05-31
D: 2018-07-31
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Dodier, Ruth

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P.O. Box 299
Mitchell, ON N0K 1N0
Phone: (519)348-8643
Fax: (519)348-8243

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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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