Obituaries

Mary Nielissen
B: 1935-09-24
D: 2019-03-21
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Nielissen, Mary
Linda Ferguson
B: 1953-09-17
D: 2019-03-15
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Ferguson, Linda
James Pinkerton
B: 1934-02-21
D: 2019-03-11
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Pinkerton, James
Camilla Lorentz
B: 1941-06-26
D: 2019-03-03
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Lorentz, Camilla
Peter Takken
B: 1928-05-30
D: 2019-02-23
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Takken, Peter
Florence Schumacher
B: 1918-10-30
D: 2019-02-12
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Schumacher, Florence
Jane Fisk
B: 1952-10-26
D: 2019-02-08
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Fisk, Jane
Gladys Morris
B: 1932-04-07
D: 2019-02-08
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Morris, Gladys
Catherine Johnston
B: 1941-01-30
D: 2019-02-06
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Johnston, Catherine
Clifford Van Oene
B: 1948-06-27
D: 2019-02-06
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Van Oene, Clifford
Joseph Waechter
B: 1958-03-23
D: 2019-02-04
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Waechter, Joseph
Clara Ruetz
B: 1926-12-26
D: 2019-01-30
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Ruetz, Clara
Donald Hopf
B: 1937-04-22
D: 2019-01-29
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Hopf, Donald
Jurgen Hambrock
B: 1941-12-29
D: 2019-01-28
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Hambrock, Jurgen
David Vasey
B: 1978-11-14
D: 2019-01-27
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Vasey, David
Cecil Schnurr
B: 1947-01-31
D: 2019-01-26
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Schnurr, Cecil
Beatrice Knox
B: 1932-02-01
D: 2019-01-20
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Knox, Beatrice
Elaine Meyer
B: 1932-02-07
D: 2019-01-17
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Meyer, Elaine
Verdun Huber
B: 1947-05-16
D: 2019-01-15
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Huber, Verdun
Paul Mullen
B: 1949-10-07
D: 2019-01-11
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Mullen, Paul
Cameron Henderson
B: 1961-06-17
D: 2019-01-10
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Henderson, Cameron

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Box 69
Walkerton, ON N0G 2V0
Phone: 519-881-1273
Fax: 519-881-3382

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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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