Obituaries

Henny Vanderkuylen
B: 1927-02-25
D: 2019-10-11
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Vanderkuylen, Henny
Isabel Vock
B: 1931-03-25
D: 2019-10-03
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Vock, Isabel
Wendy McCarthy
B: 1970-11-17
D: 2019-09-23
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McCarthy, Wendy
Jim Wilson
B: 1932-05-01
D: 2019-09-20
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Wilson, Jim
Keith Robinson
B: 1929-04-27
D: 2019-09-20
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Robinson, Keith
Joanne Robertson
B: 1952-10-17
D: 2019-09-17
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Robertson, Joanne
Ken Parsons
B: 1952-03-05
D: 2019-09-13
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Parsons, Ken
Geraldine Clarke
B: 1927-10-09
D: 2019-09-11
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Clarke, Geraldine
Ernest Hunt
B: 1938-01-24
D: 2019-09-10
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Hunt, Ernest
Jean McLellan
B: 1931-07-13
D: 2019-09-10
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McLellan, Jean
Lillian Sparling
B: 1932-05-11
D: 2019-09-05
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Sparling, Lillian
Beatrice McNain
B: 1933-03-02
D: 2019-09-03
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McNain, Beatrice
Michael Thibideau
B: 1949-11-15
D: 2019-09-01
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Thibideau, Michael
Bruce Withers
B: 1959-08-23
D: 2019-08-29
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Withers, Bruce
Charles Dolmage
B: 1930-11-23
D: 2019-08-28
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Dolmage, Charles
Donna Hinz
B: 1933-05-13
D: 2019-08-25
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Hinz, Donna
Kim McDonald
B: 1964-12-26
D: 2019-08-22
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McDonald, Kim
Mae Ahrens
B: 1930-09-10
D: 2019-08-17
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Ahrens, Mae
Maria Van Roessel
B: 1931-03-19
D: 2019-08-09
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Van Roessel, Maria
Malcolm "Clair" McKerchar
B: 1952-10-16
D: 2019-08-03
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McKerchar, Malcolm "Clair"
James Ward
B: 1934-09-07
D: 2019-07-31
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Ward, James

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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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