Obituaries

Faith Stuart
B: 1933-10-05
D: 2018-09-15
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Stuart, Faith
Joseph Biloski
B: 1927-09-11
D: 2018-09-12
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Biloski, Joseph
Elizabeth Wallace
B: 1944-09-02
D: 2018-09-12
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Wallace, Elizabeth
Rose Owsiak
B: 1932-01-19
D: 2018-09-10
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Owsiak, Rose
James Moyer
B: 1949-03-01
D: 2018-09-07
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Moyer, James
Elmer Balla
B: 1934-02-28
D: 2018-09-04
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Balla, Elmer
William Woodley
B: 1923-01-21
D: 2018-09-04
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Woodley, William
Maria Martorano
B: 1917-05-24
D: 2018-09-03
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Martorano, Maria
Marion Crewson
B: 1925-09-12
D: 2018-09-02
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Crewson , Marion
Beverly Jones
B: 1934-02-17
D: 2018-09-02
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Jones, Beverly
Wayne Kirby
B: 1936-07-19
D: 2018-09-02
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Kirby, Wayne
Frederik de Vet
B: 1934-05-03
D: 2018-09-01
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de Vet, Frederik
Elizabeth Teny
B: 1940-08-31
D: 2018-09-01
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Teny, Elizabeth
Dwight Alward
B: 1952-05-10
D: 2018-08-29
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Alward, Dwight
John Dargie
D: 2018-08-28
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Dargie, John
Claudette Byles
B: 1938-06-12
D: 2018-08-26
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Byles, Claudette
Gary Wagner
B: 1950-03-25
D: 2018-08-26
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Wagner , Gary
Johnny Tucsok
B: 1937-05-15
D: 2018-08-25
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Tucsok, Johnny
Gerald Almond
B: 1991-10-11
D: 2018-08-23
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Almond, Gerald
Margaret Booth
B: 1927-08-30
D: 2018-08-21
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Booth, Margaret
Jerry Court
B: 1937-04-16
D: 2018-08-16
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Court, Jerry

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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:

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