Obituaries

George Hardy
B: 1931-09-02
D: 2022-12-04
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Hardy, George
Freeman Evans
B: 1961-10-28
D: 2022-12-03
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Evans, Freeman
Jackqueline Molloy
B: 1966-02-22
D: 2022-11-28
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Molloy, Jackqueline
Theresa Fitzgerald
B: 1950-09-18
D: 2022-11-28
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Fitzgerald, Theresa
Doug Northcotte
B: 1960-09-25
D: 2022-11-25
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Northcotte, Doug
Marilyn Spencer
B: 1951-08-09
D: 2022-11-24
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Spencer, Marilyn
Nathan Rose
B: 1937-07-10
D: 2022-11-20
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Rose, Nathan
Alma Fizzard
B: 1962-09-18
D: 2022-11-19
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Fizzard, Alma
Lloyd Douglas
B: 1942-02-07
D: 2022-11-18
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Douglas, Lloyd
Goretta Pierce
B: 1958-12-08
D: 2022-11-13
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Pierce, Goretta
Mary Snook
B: 1951-08-06
D: 2022-11-07
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Snook, Mary
Joyce Keeping
B: 1934-05-22
D: 2022-10-28
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Keeping, Joyce
Chesley Loveless
B: 1927-10-23
D: 2022-10-26
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Loveless, Chesley
Mary Crant
B: 1934-11-12
D: 2022-10-18
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Crant, Mary
William Clarke
B: 1952-04-24
D: 2022-10-01
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Clarke, William
Ada Loveless
B: 1931-05-17
D: 2022-09-21
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Loveless, Ada
Margaret Ryan
B: 1943-08-28
D: 2022-09-21
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Ryan, Margaret
Caroline Crewe
B: 1931-07-31
D: 2022-09-18
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Crewe, Caroline
Ivy Northcotte
B: 1943-10-09
D: 2022-09-14
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Northcotte, Ivy
George Roberts
B: 1938-09-26
D: 2022-09-13
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Roberts, George
Kevin Crant
B: 1967-07-24
D: 2022-09-11
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Crant, Kevin

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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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