Obituaries

James Rose
B: 1938-05-24
D: 2018-02-10
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Rose, James
Elizabeth Glaicar
B: 1930-09-17
D: 2018-01-31
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Glaicar, Elizabeth
Elsie Hepburn
B: 1946-08-08
D: 2018-01-15
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Hepburn, Elsie
Michael Balan
B: 1952-09-25
D: 2018-01-11
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Balan, Michael
David Merkel
B: 1951-02-14
D: 2018-01-05
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Merkel, David
Edwin Rogalski
B: 1928-11-01
D: 2017-12-31
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Rogalski, Edwin
Laureen Fayant
B: 1967-11-29
D: 2017-12-27
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Fayant, Laureen
Steve Kuzub
B: 1929-12-31
D: 2017-12-24
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Kuzub, Steve
Melissa Heins
B: 1991-09-29
D: 2017-12-22
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Heins, Melissa
Michael Kozakevich
B: 1925-09-18
D: 2017-12-17
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Kozakevich, Michael
Jean Muntain
B: 1919-12-18
D: 2017-12-15
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Muntain, Jean
Darlene Piller
B: 1931-05-01
D: 2017-12-13
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Piller, Darlene
Eileen Hyatt
B: 1939-05-10
D: 2017-12-10
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Hyatt, Eileen
Betty Ulmer
B: 1928-11-28
D: 2017-12-05
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Ulmer, Betty
August Waldbauer
B: 1924-09-06
D: 2017-12-03
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Waldbauer, August
Anna Maurer
B: 1924-12-12
D: 2017-12-02
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Maurer, Anna
Dustin Domres
B: 1982-07-01
D: 2017-12-01
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Domres, Dustin
Donald Sedgwick
B: 1931-02-19
D: 2017-11-26
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Sedgwick, Donald
Wilbur Coleman
B: 1933-06-12
D: 2017-11-23
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Coleman, Wilbur
Lorne Scheirer
B: 1930-02-16
D: 2017-11-19
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Scheirer, Lorne
Wayne Woytas
B: 1953-07-12
D: 2017-11-06
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Woytas, Wayne

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I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
Province:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
Province 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 Birthplace:
Mother's Name:
Mother's Birthplace:
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:
Service Club Memberships:

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:
Military Honors at Graveside:
Flag Preference for 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:
Plot Location:
The cemetery property is in the name of:

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