Obituaries

Thomas Power
B: 1935-06-13
D: 2017-08-17
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Power, Thomas
Maurice Power
B: 1924-04-29
D: 2017-08-15
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Power, Maurice
Stacy Warren
B: 1962-02-28
D: 2017-08-08
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Warren, Stacy
Lilybelle McMillan
B: 1931-05-16
D: 2017-08-06
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McMillan, Lilybelle
Francis Pecoskie
B: 1993-01-19
D: 2017-08-06
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Pecoskie, Francis
Patricia Timm
B: 1954-03-17
D: 2017-08-06
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Timm, Patricia
Velma Keller
B: 1941-03-11
D: 2017-08-05
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Keller, Velma
H. Wright
B: 1928-02-18
D: 2017-08-04
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Wright, H.
Garry Brydges
B: 1947-05-27
D: 2017-08-02
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Brydges, Garry
Anita Fiebig
B: 1961-04-07
D: 2017-07-31
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Fiebig, Anita
Frans Van Massenhoven
B: 1948-01-21
D: 2017-07-30
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Van Massenhoven, Frans
Jerome Laginskie
B: 1946-05-14
D: 2017-07-16
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Laginskie, Jerome
Katherine Finucane
B: 1958-10-08
D: 2017-07-16
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Finucane, Katherine
Joan Dugas
B: 1932-06-29
D: 2017-07-15
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Dugas, Joan
Osborne Pedoniquotte
B: 1939-01-10
D: 2017-07-15
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Pedoniquotte, Osborne
Ursel (Terry) Stewart
B: 1940-02-28
D: 2017-07-05
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Stewart, Ursel (Terry)
Erhart Keuhl
B: 1930-06-25
D: 2017-06-22
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Keuhl, Erhart
Valerie Dicenso
B: 1949-04-19
D: 2017-06-21
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Dicenso, Valerie
Henry Towns
B: 1954-03-22
D: 2017-06-21
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Towns, Henry
Darwin Bernard
B: 1939-02-19
D: 2017-06-18
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Bernard, Darwin
Ellen Fournier
B: 1950-09-09
D: 2017-06-18
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Fournier, Ellen

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Box 56
Killaloe, ON K0J 2A0
Phone: 613-757-2555
Fax: 613-628-1947

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I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
Province:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
Province 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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