Obituaries

Janet Wirkkunen
B: 1943-08-07
D: 2018-07-14
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Wirkkunen, Janet
Robert Gashinski
B: 1952-03-06
D: 2018-07-13
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Gashinski, Robert
Wilfred Hardy
B: 1939-07-22
D: 2018-07-12
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Hardy, Wilfred
Ross Burstrom
B: 1959-02-19
D: 2018-07-07
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Burstrom, Ross
John Engberg
B: 1933-11-12
D: 2018-07-07
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Engberg, John
Ken Imperius
B: 1923-10-04
D: 2018-07-07
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Imperius, Ken
John Koropeski
B: 1933-06-17
D: 2018-07-05
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Koropeski, John
Duy Le
B: 1997-05-08
D: 2018-07-05
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Le, Duy
Edgar LeBlanc
B: 1923-03-19
D: 2018-07-01
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LeBlanc, Edgar
Albert Schlereth
B: 1930-12-16
D: 2018-06-30
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Schlereth, Albert
Adrienne Kwissisens
B: 1982-06-28
D: 2018-06-30
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Kwissisens, Adrienne
George Racic
B: 1927-01-30
D: 2018-06-27
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Racic, George
Marielle Jackpine
B: 1937-08-05
D: 2018-06-26
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Jackpine, Marielle
Marilyn Miller
B: 1949-09-05
D: 2018-06-17
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Miller, Marilyn
Lyle Manary
B: 1932-10-19
D: 2018-06-14
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Manary, Lyle
Brian Caruso
B: 1972-09-20
D: 2018-06-10
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Caruso, Brian
Ruth Dunnett
B: 1922-04-02
D: 2018-06-06
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Dunnett, Ruth
Gaston Bolduc
B: 1941-05-26
D: 2018-06-03
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Bolduc, Gaston
Wilmer Woroniuk
B: 1945-09-01
D: 2018-06-02
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Woroniuk, Wilmer
Renwick Craig
B: 1940-05-17
D: 2018-06-02
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Craig, Renwick
Hilbert Reich
B: 1924-07-07
D: 2018-06-01
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Reich, Hilbert

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
Province/Territory:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
Province/Territory of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Insurance 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:

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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