Obituaries

Susan Bechtel
B: 1946-04-14
D: 2017-04-27
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Bechtel, Susan
Pauline Schubert
B: 1918-11-29
D: 2017-04-27
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Schubert, Pauline
Fernando Chequita
B: 1928-03-07
D: 2017-04-26
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Chequita, Fernando
Roy Cranston
B: 1920-10-30
D: 2017-04-26
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Cranston, Roy
Louis Mayer
B: 1936-08-26
D: 2017-04-24
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Mayer, Louis
Peter Braid
B: 1942-06-19
D: 2017-04-22
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Braid, Peter
Raymond Spencer
B: 1938-07-19
D: 2017-04-19
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Spencer, Raymond
James Brooks
B: 1934-09-15
D: 2017-04-19
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Brooks, James
Kathleen Sleeth
B: 1927-03-18
D: 2017-04-18
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Sleeth, Kathleen
Vicki Campbell
B: 1950-09-25
D: 2017-04-17
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Campbell, Vicki
Robert Elliot
B: 1965-10-19
D: 2017-04-16
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Elliot, Robert
Giulio Tullio
B: 1926-11-11
D: 2017-04-15
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Tullio, Giulio
Laura Keirans
B: 1954-02-20
D: 2017-04-15
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Keirans, Laura
Ruth McPherson
D: 2017-04-12
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McPherson, Ruth
Andrew Johnson
B: 1926-02-28
D: 2017-04-10
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Johnson, Andrew
Lothar Stahl
D: 2017-04-10
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Stahl, Lothar
Matti Ruuska
B: 1922-02-08
D: 2017-04-07
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Ruuska, Matti
Robert Aucoin-Thomson
B: 1993-07-12
D: 2017-04-07
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Aucoin-Thomson, Robert
Giuseppa Ciommo
B: 1933-02-27
D: 2017-04-04
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Ciommo, Giuseppa
Jeffrey Coles
B: 1973-04-04
D: 2017-04-04
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Coles, Jeffrey
Thomas White
B: 1948-05-18
D: 2017-04-02
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White, Thomas

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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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