Obituaries

Janet Dennis
B: 1935-01-11
D: 2018-06-19
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Dennis, Janet
Joyce Dykstra
B: 1924-09-02
D: 2018-06-10
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Dykstra, Joyce
John (Jack) Martin
B: 1926-06-23
D: 2018-06-03
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Martin, John (Jack)
Baukje Visser
B: 1928-10-21
D: 2018-05-25
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Visser, Baukje
Barbara Belyea
B: 1959-01-22
D: 2018-05-20
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Belyea, Barbara
Joyce Baetz
B: 1926-01-08
D: 2018-05-13
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Baetz, Joyce
Karl Reu
B: 1930-01-29
D: 2018-05-05
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Reu, Karl
Elizabeth Godfrey
B: 1943-03-25
D: 2018-04-24
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Godfrey, Elizabeth
Major James Alexander McEwan
B: 1926-03-23
D: 2018-04-22
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McEwan, Major James Alexander
Elsie Doughty
B: 1923-07-11
D: 2018-04-14
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Doughty, Elsie
Lloyd Vickery
B: 1939-05-24
D: 2018-04-08
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Vickery, Lloyd
Corri Branderhorst
B: 1929-03-14
D: 2018-04-07
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Branderhorst, Corri
Ibe Bergsma
B: 1928-12-18
D: 2018-03-26
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Bergsma, Ibe
William Thompson
B: 1935-05-05
D: 2018-03-12
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Thompson, William
Mary Bulger
B: 1926-01-05
D: 2018-03-11
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Bulger, Mary
Susan DeBoer
B: 1925-06-29
D: 2018-03-06
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DeBoer, Susan
James Duxbury
B: 1951-12-24
D: 2018-02-23
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Duxbury, James
Ellen Havens
B: 1927-01-24
D: 2018-02-07
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Havens, Ellen
Donald Plank
B: 1939-01-08
D: 2018-01-24
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Plank, Donald
Margaret Jones
B: 1921-10-16
D: 2018-01-23
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Jones, Margaret
Maxine O'Hara
B: 1931-08-09
D: 2018-01-08
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O'Hara, Maxine

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19 Talbot Street West
Jarvis, ON N0A 1J0
Phone: 519-587-4414
Fax: 519-587-2849

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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:
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Social Insurance Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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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:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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