Obituaries

Susan Lawlor
B: 1953-03-10
D: 2020-02-10
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Lawlor, Susan
Delmar Brock
B: 1944-07-23
D: 2020-02-08
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Brock, Delmar
Jose Lopes
B: 1967-05-17
D: 2020-02-06
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Lopes, Jose
Padiann Georgian
B: 1938-04-27
D: 2020-02-05
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Georgian, Padiann
Sonja Rudek
B: 1927-11-18
D: 2020-02-04
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Rudek, Sonja
Carol Force
B: 1942-11-19
D: 2020-01-30
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Force, Carol
Nigel March
B: 1938-04-09
D: 2020-01-21
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March, Nigel
Eleanor Ritchie
B: 1950-02-18
D: 2020-01-18
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Ritchie, Eleanor
Gladys MacKenzie
B: 1928-03-25
D: 2020-01-16
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MacKenzie, Gladys
Sarolta Demeter
B: 1925-11-11
D: 2020-01-15
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Demeter, Sarolta
Gary Cain
B: 1945-04-06
D: 2020-01-14
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Cain, Gary
Audrey Miller
B: 1930-03-19
D: 2020-01-10
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Miller, Audrey
Maralyn McCauley
B: 1942-06-25
D: 2020-01-02
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McCauley, Maralyn
Carol Brazier
B: 1943-03-07
D: 2019-12-30
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Brazier, Carol
Chris Smits
B: 1935-02-16
D: 2019-12-29
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Smits, Chris
Joe Miller
B: 1934-02-17
D: 2019-12-28
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Miller, Joe
Bonnie MacIntosh
B: 1948-04-10
D: 2019-12-16
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MacIntosh, Bonnie
Sharon Olmstead
B: 1950-08-14
D: 2019-12-11
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Olmstead, Sharon
John Cade
B: 1937-04-11
D: 2019-12-09
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Cade, John
Lois Laurie
B: 1938-09-03
D: 2019-12-06
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Laurie, Lois
Evelyn Gilpin
B: 1925-11-11
D: 2019-12-05
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Gilpin, Evelyn

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134 King St.,
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:

Miscellaneous Notes and Instructions:

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