Obituaries

Evelyn Durnford
B: 1948-03-23
D: 2018-02-22
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Durnford, Evelyn
Garfield Loveless
B: 1930-10-14
D: 2018-02-21
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Loveless, Garfield
Olive Poole
B: 1961-06-30
D: 2018-02-15
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Poole, Olive
George Cox
B: 1932-10-17
D: 2018-02-08
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Cox, George
Leonard Baker
B: 1947-11-07
D: 2018-02-02
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Baker, Leonard
Paul Stride
B: 1928-05-26
D: 2018-02-01
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Stride, Paul
Stanley Stewart
B: 1935-08-22
D: 2018-01-11
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Stewart, Stanley
Fannie Piercey
B: 1931-11-24
D: 2018-01-11
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Piercey, Fannie
Albert Loveless
B: 1951-01-12
D: 2018-01-05
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Loveless, Albert
Donald Hollett
B: 1939-04-30
D: 2018-01-01
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Hollett, Donald
Martha Bennett
B: 1923-07-30
D: 2017-12-31
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Bennett, Martha
Marina Skinner
B: 1963-09-13
D: 2017-12-13
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Skinner, Marina
John Skinner
B: 1928-08-03
D: 2017-11-23
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Skinner, John
Vernon Day
B: 1969-12-11
D: 2017-11-21
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Day, Vernon
Catherine Evans
B: 1938-05-25
D: 2017-11-12
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Evans, Catherine
Cecil Cox
B: 1933-02-19
D: 2017-11-08
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Cox, Cecil
Corsina John
B: 1932-09-15
D: 2017-11-07
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John, Corsina
Randell Scott
B: 1925-12-19
D: 2017-10-31
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Scott, Randell
James Warren
B: 1943-10-16
D: 2017-10-31
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Warren, James
Dorothy Ball
B: 1920-09-20
D: 2017-10-02
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Ball, Dorothy
Terri Snook
B: 1977-03-21
D: 2017-09-21
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Snook, Terri

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P. O. Box 248
190 Canada Drive
Harbour Breton, NL A0H 1P0
Phone: 709-885-2609
Fax: 709-885-3025

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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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