Obituaries

Leah Smith
B: 1963-06-20
D: 2018-02-17
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Smith, Leah
Clive O'Neill
B: 1937-09-07
D: 2018-02-16
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O'Neill, Clive
Elaine Fairfax
B: 1934-07-30
D: 2018-02-15
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Fairfax, Elaine
Cynthia Wilson Giguere
B: 1971-03-08
D: 2018-02-15
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Wilson Giguere, Cynthia
Harry Woodcock
B: 1949-10-05
D: 2018-02-14
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Woodcock, Harry
Karen Bernaski
B: 1960-08-31
D: 2018-02-13
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Bernaski, Karen
Vaughn Harrison
B: 1960-02-17
D: 2018-02-13
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Harrison, Vaughn
Irene MacKay
D: 2018-02-11
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MacKay, Irene
Michael Kent
B: 1957-11-30
D: 2018-02-09
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Kent, Michael
Marlene Clark
B: 1936-03-14
D: 2018-02-08
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Clark, Marlene
James Babcock
B: 1961-02-16
D: 2018-02-07
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Babcock, James
Jessie Little
B: 1937-01-29
D: 2018-02-06
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Little, Jessie
Nancy Corke
B: 1953-06-29
D: 2018-02-06
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Corke, Nancy
Frank Ligori
B: 1943-09-09
D: 2018-02-05
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Ligori, Frank
Mackenzie Mann
B: 1934-01-03
D: 2018-02-05
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Mann, Mackenzie
Elizabeth Morrison
B: 1936-05-24
D: 2018-02-03
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Morrison, Elizabeth
Philip Shea
B: 1931-01-19
D: 2018-01-31
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Shea, Philip
Vincenzo Martino
B: 1921-03-30
D: 2018-01-31
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Martino, Vincenzo
Jean Renwick
B: 1932-10-31
D: 2018-01-31
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Renwick, Jean
Bessie Adams
B: 1931-11-11
D: 2018-01-30
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Adams, Bessie
Jeannie Van Dongen
B: 1930-01-19
D: 2018-01-26
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Van Dongen, Jeannie

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Brantford, ON N3R 2H4
Phone: (519) 753-8655
Fax: (519) 753-1195

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security 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:
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:
Cemetery Location:
The cemetery property is in the name of:

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