Obituaries

Sylvia Lawrence
B: 1946-05-14
D: 2019-12-09
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Lawrence, Sylvia
Robert Ryan
B: 1990-06-06
D: 2019-12-08
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Ryan, Robert
James Corke
B: 1955-05-14
D: 2019-12-06
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Corke, James
William Cox
B: 1946-09-06
D: 2019-12-05
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Cox, William
Girolamo Palmegiani
B: 1933-01-03
D: 2019-12-04
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Palmegiani, Girolamo
Marion Turner
B: 1935-05-30
D: 2019-12-03
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Turner, Marion
Eleanor Charlton
B: 1930-08-20
D: 2019-11-28
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Charlton, Eleanor
Richard Shaw
D: 2019-11-26
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Shaw, Richard
Jean Van Sickle
B: 1930-12-28
D: 2019-11-24
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Van Sickle, Jean
Fayrouz Balian
B: 1934-08-27
D: 2019-11-24
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Balian, Fayrouz
Alberto Trombetta
B: 1937-02-27
D: 2019-11-22
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Trombetta, Alberto
Rachel Edghill-Matray
B: 1990-10-21
D: 2019-11-20
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Edghill-Matray, Rachel
John Biro
B: 1945-10-01
D: 2019-11-19
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Biro , John
Raymond Ellul
B: 1927-12-08
D: 2019-11-19
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Ellul, Raymond
Cornelia Van Fleet
B: 1944-10-10
D: 2019-11-18
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Van Fleet, Cornelia
Katherine Poczaj
B: 1930-02-05
D: 2019-11-14
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Poczaj, Katherine
Thomas Hill
B: 1927-03-18
D: 2019-11-13
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Hill, Thomas
Barbara Berardi
B: 1955-06-04
D: 2019-11-13
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Berardi, Barbara
Chandra Reynolds
B: 1965-05-10
D: 2019-11-12
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Reynolds, Chandra
Emmy Na
B: 1937-11-28
D: 2019-11-12
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Na, Emmy
John Sevier
B: 1944-04-12
D: 2019-11-11
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Sevier, John

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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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