Obituaries

Panayote Koromilas
B: 1931-08-22
D: 2018-01-13
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Koromilas, Panayote
Ruth Borth
B: 1921-10-10
D: 2018-01-07
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Borth, Ruth
Marilyn Ward
B: 1936-06-27
D: 2018-01-01
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Ward, Marilyn
Erika Penikis
B: 1917-02-03
D: 2017-12-22
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Penikis, Erika
Glen Kistner
B: 1931-03-15
D: 2017-12-11
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Kistner, Glen
Trevor Neal
B: 1944-01-26
D: 2017-12-09
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Neal, Trevor
Joyce Harris
B: 1922-06-27
D: 2017-11-25
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Harris, Joyce
Dorothy Giffin
B: 1920-11-07
D: 2017-11-25
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Giffin, Dorothy
Harriet Brownlee
B: 1934-05-18
D: 2017-11-18
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Brownlee, Harriet
Alice Moore
B: 1920-08-18
D: 2017-11-15
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Moore, Alice
Wayne Montgomery
B: 1955-05-19
D: 2017-11-05
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Montgomery, Wayne
Jane Snider
D: 2017-11-01
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Snider, Jane
Jordan Anastasiade
D: 2017-10-31
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Anastasiade, Jordan
Orville Iredale
B: 1946-04-03
D: 2017-10-27
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Iredale, Orville
Pearl Ready
D: 2017-10-23
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Ready, Pearl
Oliver Cook
B: 1923-09-18
D: 2017-10-12
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Cook, Oliver
Richard Cossey
B: 1950-01-21
D: 2017-09-24
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Cossey, Richard
Mary McEwan
B: 1919-01-21
D: 2017-09-13
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McEwan, Mary
Penny Sing
B: 1939-06-15
D: 2017-09-06
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Sing, Penny
Janice Contreras
B: 1950-01-30
D: 2017-09-04
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Contreras, Janice
Irene Daries
B: 1934-04-12
D: 2017-08-23
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Daries, Irene

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804 Ontario Street, Unit C-11
Stratford, ON N5A 3K1
Phone: (519) 271-5062
Fax: (519) 271-5006

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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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