Obituaries

Paul Taylor
B: 1942-03-31
D: 2021-05-10
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Taylor, Paul
George Court
B: 1927-08-29
D: 2021-05-10
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Court, George
Keith Crofton
B: 1956-09-14
D: 2021-05-09
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Crofton, Keith
Toni Tangorra
B: 1970-03-06
D: 2021-05-07
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Tangorra, Toni
Betty Zimon
B: 1930-10-24
D: 2021-05-05
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Zimon, Betty
Becky Levasseur
B: 1951-10-15
D: 2021-04-29
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Levasseur, Becky
Gerald Hanselman
B: 1932-03-09
D: 2021-04-29
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Hanselman, Gerald
Marguerita "Reta" Unger
B: 1934-03-15
D: 2021-04-29
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Unger, Marguerita "Reta"
Jean Hainer (Greiner)
B: 1919-05-17
D: 2021-04-29
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Hainer (Greiner), Jean
Norma MacKinnon
D: 2021-04-29
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MacKinnon, Norma
Frederick Marks
B: 1930-07-18
D: 2021-04-28
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Marks, Frederick
Kathryn Clyne
B: 1959-11-01
D: 2021-04-27
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Clyne, Kathryn
Kenneth Appleby
B: 1936-02-15
D: 2021-04-25
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Appleby, Kenneth
Robert Wilson
B: 1962-04-01
D: 2021-04-25
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Wilson, Robert
Isobel Wilson
B: 1930-11-06
D: 2021-04-25
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Wilson, Isobel
Michael McKenna
B: 1959-06-12
D: 2021-04-24
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McKenna, Michael
Aaron Bell
B: 1971-08-21
D: 2021-04-22
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Bell, Aaron
Robert Mundie
B: 1949-07-11
D: 2021-04-21
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Mundie, Robert
Chesley Bennett
B: 1946-05-01
D: 2021-04-21
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Bennett, Chesley
Helen Kerr
B: 1935-05-29
D: 2021-04-21
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Kerr, Helen
Francis Linn
B: 1932-12-22
D: 2021-04-20
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Linn, Francis

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55 Charing Cross Street
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:

Miscellaneous Notes and Instructions:

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