Obituaries

Kathleen Williams
B: 1936-11-22
D: 2020-09-12
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Williams, Kathleen
William Wells
B: 1934-05-24
D: 2020-09-05
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Wells, William
Wesley Rose
B: 1949-09-29
D: 2020-09-04
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Rose, Wesley
Morris Loveless
B: 1939-07-12
D: 2020-09-01
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Loveless, Morris
Ida Kendell
B: 1940-05-24
D: 2020-08-31
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Kendell, Ida
Reginald Snook
B: 1948-09-18
D: 2020-08-27
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Snook, Reginald
Naomi Lakey
B: 1928-08-29
D: 2020-08-26
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Lakey, Naomi
Geraldine Quann
B: 1947-07-02
D: 2020-08-26
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Quann, Geraldine
Captain Roy Piercey
B: 1955-10-09
D: 2020-08-26
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Piercey, Captain Roy
Jonathan Keeping
B: 2001-10-12
D: 2020-08-25
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Keeping, Jonathan
Blaise Howse
B: 1960-02-03
D: 2020-08-24
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Howse, Blaise
John Phillips
B: 1931-06-23
D: 2020-08-21
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Phillips, John
Palmer Stone
B: 1970-06-06
D: 2020-08-13
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Stone, Palmer
Margaret Day
D: 2020-08-13
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Day, Margaret
Zachariah Drew
B: 1979-05-15
D: 2020-08-05
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Drew, Zachariah
Joseph Baker
B: 1961-02-26
D: 2020-07-28
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Baker, Joseph
Stanley Perry
B: 1935-09-16
D: 2020-07-24
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Perry, Stanley
Albert Hoskins
B: 1969-08-17
D: 2020-07-19
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Hoskins, Albert
Marjorie Loveless
B: 1945-04-21
D: 2020-07-10
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Loveless, Marjorie
Marjorie Lambert
B: 1951-09-21
D: 2020-07-09
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Lambert, Marjorie
Melvin Bungay
B: 1946-10-03
D: 2020-07-01
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Bungay, Melvin

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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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Please place my information on file