Obituaries

Frank Read
B: 1945-09-28
D: 2019-10-15
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Read, Frank
Shirley Cromwell
B: 1937-07-05
D: 2019-10-06
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Cromwell, Shirley
Lucy Preston
B: 1938-02-20
D: 2019-10-02
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Preston, Lucy
Ray Allgood
B: 1934-12-06
D: 2019-09-28
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Allgood, Ray
Liam Kowalsky
B: 2019-09-13
D: 2019-09-28
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Kowalsky, Liam
Victoria Kellam
B: 1951-11-30
D: 2019-09-25
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Kellam, Victoria
Grant Miller
B: 1951-10-31
D: 2019-09-25
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Miller, Grant
Maria Toste
B: 1939-10-22
D: 2019-09-20
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Toste, Maria
Wayne Blank
B: 1954-09-02
D: 2019-09-19
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Blank, Wayne
Karl Hepp
B: 1948-06-26
D: 2019-09-16
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Hepp, Karl
Mary Osborne
B: 1938-01-05
D: 2019-09-07
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Osborne, Mary
Gary Pierce
B: 1957-07-24
D: 2019-09-04
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Pierce, Gary
Wendy Chapman
B: 1952-04-10
D: 2019-08-29
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Chapman, Wendy
Peter Fish
B: 1945-03-02
D: 2019-08-23
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Fish, Peter
Robert Davis
B: 1940-05-16
D: 2019-08-19
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Davis, Robert
Peter Syben
B: 1952-08-02
D: 2019-08-19
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Syben, Peter
Marie Beam
B: 1929-07-09
D: 2019-08-18
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Beam, Marie
Merylin Craft
B: 1936-07-08
D: 2019-08-17
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Craft, Merylin
Helen Murray
B: 1955-08-15
D: 2019-08-07
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Murray, Helen
Thelma Brooks
B: 1927-07-23
D: 2019-08-03
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Brooks, Thelma
Shirley Sweers
B: 1937-11-12
D: 2019-08-03
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Sweers, Shirley

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P.O. Box 128,
Burford, ON N0E 1A0
Phone: (519) 449-1112
Fax: (519) 449-3120

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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:

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