Obituaries

Wilhelmina Theresia Kolkman
B: 1927-09-04
D: 2020-01-22
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Kolkman, Wilhelmina Theresia
Catherine Jantzi
B: 1953-10-18
D: 2020-01-20
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Jantzi, Catherine
Maureen Dearing
B: 1951-10-26
D: 2020-01-13
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Dearing, Maureen
Crystal Eisler
B: 1982-01-27
D: 2020-01-13
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Eisler, Crystal
Ronald Gethke
B: 1938-05-25
D: 2020-01-04
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Gethke, Ronald
Elizabeth Vink
B: 1926-09-27
D: 2019-12-27
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Vink, Elizabeth
Betty Knott
B: 1926-09-08
D: 2019-12-27
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Knott, Betty
Isabelle Marquardt
B: 1934-09-20
D: 2019-12-24
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Marquardt, Isabelle
Robert Vosper
B: 1927-06-06
D: 2019-12-24
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Vosper, Robert
Robert Beaumont
B: 1924-12-02
D: 2019-12-23
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Beaumont, Robert
Donald Ahrens
B: 1932-02-26
D: 2019-12-23
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Ahrens, Donald
Russel McCallum
B: 1923-02-11
D: 2019-12-19
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McCallum, Russel
Albert Butler
B: 1917-09-16
D: 2019-12-11
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Butler, Albert
Sarah Hough
B: 1985-08-08
D: 2019-12-10
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Hough, Sarah
Wanda Higenell
B: 1935-04-18
D: 2019-12-10
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Higenell, Wanda
Ronald Clarke
B: 1953-07-23
D: 2019-12-09
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Clarke, Ronald
Donald Gettler
B: 1936-04-16
D: 2019-11-25
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Gettler, Donald
Age Huitema
B: 1937-06-21
D: 2019-11-25
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Huitema, Age
Mary Patricia Schellenberger
B: 1950-10-13
D: 2019-11-20
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Schellenberger, Mary Patricia
Bruce Dow
B: 1947-08-19
D: 2019-11-14
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Dow, Bruce
Francis Anderson
B: 1949-12-19
D: 2019-10-24
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Anderson, Francis

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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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