Obituaries

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
Wesley Quast
B: 1964-04-22
D: 2018-07-24
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Quast, Wesley
June Hinz
B: 1956-06-04
D: 2018-07-17
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Hinz, June
Yvonne Dow
B: 1956-02-15
D: 2018-07-11
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Dow, Yvonne
Phyllis Kemp
B: 1929-05-18
D: 2018-07-09
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Kemp, Phyllis
Thomas Boyd
B: 1950-05-31
D: 2018-07-07
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Boyd, Thomas
Ebony Kay
B: 2004-09-22
D: 2018-07-03
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Kay, Ebony
Anna O'Donnell
B: 1924-01-25
D: 2018-06-30
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O'Donnell, Anna
Karl Neubrand
B: 1927-05-29
D: 2018-06-25
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Neubrand, Karl
Stephen Hagarty
B: 1956-04-20
D: 2018-06-21
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Hagarty, Stephen
Mary Robinson
B: 1918-06-01
D: 2018-06-13
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Robinson, Mary
Sini Drost
B: 1937-09-26
D: 2018-06-09
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Drost, Sini
Robert Barbour
B: 1929-12-22
D: 2018-06-08
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Barbour, Robert
Garry Slater
B: 1953-02-15
D: 2018-06-02
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Slater, Garry
Verna O'Donnell
B: 1924-05-12
D: 2018-06-02
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O'Donnell, Verna

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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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