Obituaries

Maria Fabbricino
B: 1930-03-28
D: 2019-02-28
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Fabbricino, Maria
Ronald Elliott
B: 1959-12-17
D: 2019-02-23
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Elliott, Ronald
Murray Greene
B: 1941-07-10
D: 2019-02-20
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Greene, Murray
Johann Menzi
B: 1942-01-31
D: 2019-02-16
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Menzi, Johann
Kathy Wierenga
B: 1967-09-30
D: 2019-02-13
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Wierenga, Kathy
Beth Vosper
B: 1930-08-07
D: 2019-01-31
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Vosper, Beth
Heinz Hinz
B: 1926-09-08
D: 2019-01-14
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Hinz, Heinz
Adell Rose
B: 1930-11-01
D: 2019-01-13
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Rose, Adell
Dorothy Rose
B: 1934-12-17
D: 2019-01-12
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Rose, Dorothy
Ivan Bennewies
B: 1929-10-05
D: 2019-01-08
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Bennewies, Ivan
Ronald Clark
B: 1954-08-21
D: 2019-01-07
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Clark, Ronald
Ivan Hinz
B: 1930-03-24
D: 2019-01-05
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Hinz, Ivan
Gesina Schenk
B: 1937-06-30
D: 2019-01-04
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Schenk, Gesina
Shirley Huston
B: 1934-03-27
D: 2019-01-01
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Huston, Shirley
Warren McDougall
B: 1931-05-20
D: 2018-12-31
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McDougall, Warren
Vera Bach
B: 1915-08-05
D: 2018-12-31
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Bach, Vera
Audrey Stacey
B: 1929-05-23
D: 2018-12-26
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Stacey, Audrey
Kenneth Feltz
B: 1952-12-05
D: 2018-12-24
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Feltz, Kenneth
Dorothy Lealess
B: 1930-04-22
D: 2018-12-23
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Lealess, Dorothy
Barbara Scherbarth
B: 1942-02-22
D: 2018-12-23
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Scherbarth, Barbara
Helen Krauskopf
B: 1924-12-09
D: 2018-12-21
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Krauskopf, Helen

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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:

Miscellaneous Notes and Instructions:

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