Obituaries

Shirley Wagler
B: 1945-05-21
D: 2018-02-15
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Wagler, Shirley
Mabel St. Angelo
B: 1939-01-19
D: 2018-02-11
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St. Angelo, Mabel
Eileen Thompson
B: 1928-03-16
D: 2018-02-07
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Thompson, Eileen
Hermann Wohlfahrt
B: 1936-01-07
D: 2018-02-04
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Wohlfahrt, Hermann
Ronald Beaulne
B: 1931-10-01
D: 2018-01-20
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Beaulne, Ronald
Leslie Harrison
B: 1940-09-04
D: 2018-01-20
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Harrison, Leslie
John Allan
B: 1961-10-09
D: 2018-01-17
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Allan, John
Gosselin Boivin
B: 1946-05-20
D: 2018-01-11
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Boivin, Gosselin
Kathleen Gould
B: 1930-11-08
D: 2018-01-11
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Gould, Kathleen
William Hicks
B: 1940-10-22
D: 2018-01-08
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Hicks, William
Robert Lauzon
B: 1951-02-03
D: 2018-01-05
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Lauzon, Robert
Gloria Hunter
B: 1946-12-15
D: 2018-01-04
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Hunter, Gloria
John O'Connor
B: 1941-11-21
D: 2017-12-31
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O'Connor, John
Anthony Cardas
B: 1928-01-15
D: 2017-12-28
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Cardas, Anthony
Rita Montemurro
B: 1935-01-16
D: 2017-12-27
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Montemurro, Rita
Alexander Dunlop
B: 1934-10-12
D: 2017-12-18
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Dunlop, Alexander
Valerie Peddle
B: 1940-02-14
D: 2017-12-14
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Peddle, Valerie
Leita Voicey
B: 1941-04-17
D: 2017-12-13
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Voicey, Leita
Margaret Davies
B: 1933-02-24
D: 2017-12-08
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Davies, Margaret
Robin Davis
B: 1956-03-04
D: 2017-12-07
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Davis, Robin
Michelle Price
B: 1979-10-07
D: 2017-12-06
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Price, Michelle

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Immediate Need


Having a Will certainly removes questions about who we are to take direction from when services are required.  Please bring a copy of the Will so we are able to prove that we are taking direction from the proper person(s).  We would need to take direction from the Executor or Executrix if there is an existing valid Will.  Please call us immediately at 289-362-1144 if you require our services.  The following form will provide the list of information that we are asked to gather by the Provincial Mandate for Death Registration along with a few details about your preferences for disposition (cremation, burial or entombment) and the level service that you would like us to provide to you at this time.
 

Personal Information:

 
First Name:
Middle Name:
Last Name:

Date of Birth:

(Name of month/day/year)

Place Of Birth City:
Place Of Birth Province:
Place of Birth Country:

Date Of Death:

(Name of month/day/year)

Place Of Death Location:
Place Of Death Address:
Place Of Death City:
Place Of Death Province:
Place Of Death Country:
Home Address:  
Unit:
Street # & Name
City:
Province/Territory:
Postal Code:
Phone Number:
(xxx-xxx-xxxx)
Social Insurance Number: Please have this information on hand as we will ask for it.
Health Card Number Please have this information on hand as we will ask for it.
Is There A Pacemaker Or Defibrillator Implanted  Yes           No
Marital Status:  
Single
Married
Widowed
Divorced
Common Law
Same Sex Partner
Name Of Current/Last Partner (even if divorced we are asked to gather this information)  
First
Middle (s)
Last (Maiden If Female)

Employment History:

(even if currently retired)

 

Occupation:

(accountant, plumber, driver, cook, etc)

Type Of Business:

(retail, manufacturing, health care, etc)

Parent’s Information

Mother's Full Legal Name:

 
First Name:
Middle Name:
Last (Maiden)
Father's Full Legal Name:  
First Name:
Middle Name:
Last:

Contact Person that we are taking direction from for arrangements:

Legal Full Name

 
First Name:
Middle Name:
Last Name
Relationship: (indicate all that apply - Executor/Executrix/Spouse/Child/etc.
Home Address:  
Street # & Name
City
Postal Code
Phone Number:  
Residence
Cell
Email Address
Names & Relationships Of Those To Be Mentioned:
Hobbies/Clubs/Activities To Be Mentioned In Notice

A Photo Can Be Placed In The Newspaper Notice As Well

You May Add Photographs To Our Webpages Too At No Charge

 
 
 
Church Membership:
(if applicable)
Lodge or Union Memberships:
Type Of Service:  
Immediate Cremation / Burial (basic burial or basic cremation without any type of formal service)
Graveside Service (service at cemetery with either casket or urn)
Memorial Service (burial or cremation prior to structured service)
Celebration Of Life (burial or cremation prior to a more casual gathering)
Traditional Funeral (service with casket present to be followed by either burial or cremation)
Preferred Disposition:  
Burial (placement of a casket into an earth grave either with or without a grave liner or vault)
Cremation (the cremated remains may be buried in an earth grave or placed in a niche at the cemetery or taken home)
Entombment (placement of a casket into a crypt in the mausoleum at a cemetery)
Cemetery:  
Do You Already Own Cemetery Property?  Yes               No
If Yes Please Indicate:  
Grave Niche
Name Of Cemetery
City

Who Holds The Rights To The Property

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file