Obituaries

Loretta Blagdon
B: 1957-06-03
D: 2019-08-07
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Blagdon, Loretta
Meta Skinner
B: 1947-05-10
D: 2019-08-01
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Skinner, Meta
Freeman Caines
B: 1932-09-05
D: 2019-07-21
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Caines, Freeman
Richard McDonald
B: 1966-05-05
D: 2019-07-12
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McDonald, Richard
Eileen Douglas
B: 1947-11-02
D: 2019-07-09
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Douglas, Eileen
Ida Bungay
B: 1955-03-17
D: 2019-07-09
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Bungay, Ida
Eliza McDonald
B: 1941-03-14
D: 2019-07-08
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McDonald, Eliza
Joan Willcott
B: 1928-07-11
D: 2019-06-20
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Willcott, Joan
William Bartlett
B: 1935-10-12
D: 2019-06-13
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Bartlett, William
Dorothy Skinner
B: 1933-12-24
D: 2019-06-10
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Skinner, Dorothy
William Sullivan
B: 1962-02-10
D: 2019-06-10
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Sullivan, William
Edith Keeping
B: 1934-07-31
D: 2019-06-08
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Keeping, Edith
Ethel Pierce
B: 1942-05-05
D: 2019-06-01
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Pierce, Ethel
Roland Abbott
B: 1947-12-09
D: 2019-05-28
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Abbott, Roland
Effie Jackman
B: 1938-12-31
D: 2019-05-25
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Jackman, Effie
Everest Barnes
B: 1943-09-21
D: 2019-05-16
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Barnes, Everest
Jordan Hollett
B: 1933-02-02
D: 2019-05-06
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Hollett, Jordan
Shelley Taylor
B: 1972-04-21
D: 2019-04-30
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Taylor, Shelley
Sharon Organ
B: 1959-02-07
D: 2019-04-28
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Organ, Sharon
Mary Augot
B: 1929-08-11
D: 2019-04-22
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Augot, Mary
Sidney Harris
B: 1948-11-10
D: 2019-04-22
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Harris, Sidney

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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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