Obituaries

Wanda Oleksiuk
B: 1926-06-18
D: 2017-06-19
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Oleksiuk, Wanda
Eunice Warren
B: 1938-11-13
D: 2017-06-18
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Warren, Eunice
Bruce Longmuir
B: 1938-09-25
D: 2017-06-13
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Longmuir, Bruce
Bernard Lemieux
B: 1946-04-27
D: 2017-06-11
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Lemieux, Bernard
Robert Smith
B: 1936-06-02
D: 2017-06-10
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Smith, Robert
Roland Anderson
B: 1932-11-01
D: 2017-06-08
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Anderson, Roland
Eunice Cassibo
B: 1929-01-01
D: 2017-06-03
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Cassibo, Eunice
Mariana da Ponte
B: 1926-05-24
D: 2017-05-29
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da Ponte, Mariana
Palmina Pietrangeli
B: 1941-04-07
D: 2017-05-27
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Pietrangeli, Palmina
Keld Jensen
B: 1945-05-21
D: 2017-05-27
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Jensen, Keld
Ronald Oster
B: 1940-11-07
D: 2017-05-24
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Oster, Ronald
James Crouse
B: 1930-11-04
D: 2017-05-24
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Crouse, James
Elizabeth Swenson
B: 1922-10-04
D: 2017-05-23
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Swenson, Elizabeth
Cheryl Lapointe
B: 1968-10-26
D: 2017-05-23
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Lapointe, Cheryl
Gladys Lee
B: 1930-10-27
D: 2017-05-20
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Lee, Gladys
Lorne MacKinnon
B: 1948-07-21
D: 2017-05-18
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MacKinnon, Lorne
Teodorico De Matos
B: 1946-01-31
D: 2017-05-17
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De Matos, Teodorico
Ruth Anne McFarlane
B: 1940-07-28
D: 2017-05-13
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McFarlane, Ruth Anne
Garrett Mills
B: 2002-02-27
D: 2017-05-12
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Mills, Garrett
Anne Pearman
B: 1935-09-28
D: 2017-05-10
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Pearman, Anne
Claude Brown
B: 1924-11-16
D: 2017-05-03
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Brown, Claude

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980 Collins Bay Rd
Kingston, ON K7M 5H2
Phone: (613) 634-3722
Fax: (613) 634-7100

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I. Biographical Information
 
Full Name of Deceased:
Date of Death:
Address1:
Address2:
City Name:
Province/Territory:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Deceased's Date of Birth: (month/day/year)
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Highest Education Level:
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Social Insurance Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
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Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
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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:
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Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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