Obituaries

Howard Nelson
B: 1929-06-14
D: 2019-08-15
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Nelson, Howard
Leondina Visocchi
B: 1931-10-01
D: 2019-08-13
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Visocchi, Leondina
Karen Hunks
B: 1962-04-23
D: 2019-08-13
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Hunks, Karen
Patricia Hann
B: 1936-05-08
D: 2019-08-11
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Hann, Patricia
George Jones
B: 1917-11-21
D: 2019-08-11
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Jones, George
Helen Campbell
B: 1927-02-15
D: 2019-08-10
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Campbell, Helen
Gerald McKay
B: 1931-01-16
D: 2019-08-09
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McKay, Gerald
Patricia Wood
B: 1954-09-17
D: 2019-08-07
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Wood, Patricia
David Wilson
B: 1939-02-28
D: 2019-08-04
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Wilson, David
Rose Morris
B: 1925-12-24
D: 2019-08-04
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Morris, Rose
Peter Harris
B: 1972-06-08
D: 2019-08-03
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Harris, Peter
Joel Shewchuk
B: 1979-01-05
D: 2019-08-01
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Shewchuk, Joel
Roy Poulton
B: 1947-05-17
D: 2019-07-30
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Poulton, Roy
Margaret Janzen
B: 1927-07-31
D: 2019-07-30
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Janzen, Margaret
Maria Frisoli
B: 1928-02-23
D: 2019-07-29
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Frisoli, Maria
Liliana Borgh
B: 1928-01-29
D: 2019-07-28
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Borgh, Liliana
Brigitte Block
B: 1936-09-19
D: 2019-07-27
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Block, Brigitte
Maria Longo
B: 1927-06-25
D: 2019-07-26
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Longo, Maria
John Allan
B: 1935-04-06
D: 2019-07-25
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Allan, John
Neil Pooler
B: 1924-03-04
D: 2019-07-22
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Pooler, Neil
Peter McDonald
B: 1927-04-16
D: 2019-07-19
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McDonald, Peter

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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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