Obituaries

Gordon Parkinson
B: 1944-05-07
D: 2017-07-18
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Parkinson, Gordon
Irvin Scherbarth
B: 1934-07-29
D: 2017-07-13
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Scherbarth, Irvin
Ada Joy Docking
B: 1919-09-11
D: 2017-06-27
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Docking, Ada Joy
Zoltan Szep
B: 1943-04-18
D: 2017-06-20
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Szep, Zoltan
Mary Bell Higgins
B: 1918-03-04
D: 2017-06-17
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Higgins, Mary Bell
Kathleen Frances Stapleton
B: 1921-10-08
D: 2017-06-10
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Stapleton, Kathleen Frances
Frank de Jong
B: 1941-07-09
D: 2017-06-09
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de Jong, Frank
Kathleen Jurisprudencia
B: 1964-03-09
D: 2017-06-04
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Jurisprudencia, Kathleen
Linda Ward
B: 1970-02-20
D: 2017-06-01
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Ward, Linda
Daniel Connolly
B: 1930-04-22
D: 2017-05-18
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Connolly, Daniel
Lowell Skinner
B: 1959-05-11
D: 2017-05-13
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Skinner, Lowell
Dirk Brink
B: 1932-06-01
D: 2017-04-26
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Brink, Dirk
Donna Elaine Seebach
B: 1927-10-22
D: 2017-04-24
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Seebach, Donna Elaine
Bradley Bennewies
B: 1960-11-14
D: 2017-04-15
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Bennewies, Bradley
Eric Caldwell
B: 1934-12-18
D: 2017-04-10
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Caldwell, Eric
Robert Lloyd Elliott
B: 1928-03-18
D: 2017-04-09
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Elliott, Robert Lloyd
Bruce Murray
B: 1933-02-26
D: 2017-04-05
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Murray, Bruce
Helen Brink
B: 1934-03-09
D: 2017-04-04
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Brink, Helen
Alma Scott
B: 1944-07-12
D: 2017-04-03
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Scott, Alma
Floyd Dow
B: 1942-12-21
D: 2017-04-03
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Dow, Floyd
Margaret Kraal
B: 1927-03-28
D: 2017-04-02
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Kraal, Margaret

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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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