Obituaries

Elizabeth Howe
B: 1924-10-29
D: 2018-04-12
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Howe, Elizabeth
Arthur Malcolm
B: 1940-05-06
D: 2018-03-21
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Malcolm, Arthur
Ethel Blackett
B: 1919-06-21
D: 2018-03-19
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Blackett, Ethel
Kendal Post
B: 1929-09-20
D: 2018-03-19
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Post, Kendal
Kingsley Williams
B: 1973-05-13
D: 2018-03-18
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Williams, Kingsley
Howard Parker
B: 1926-05-25
D: 2018-03-09
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Parker, Howard
Helen Maley
B: 1946-06-24
D: 2018-02-26
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Maley, Helen
Robert Jones
B: 1928-12-31
D: 2018-02-19
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Jones, Robert
Mary Kukawsky
B: 1922-02-11
D: 2018-02-18
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Kukawsky, Mary
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

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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 at the moment.  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

 
Decedent  
First Name
Middle Name
Last Name
Full Home Address  
Address (include unit #)
City
Province
Postal Code

Date of Birth

(Name of month/day/year)

City
Province/Territory
Country

Date Of Death

(Name of month/day/year)

Location By Name
Address
City
Province/Territory
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 Please select one.
Single
Married
Widowed
Divorced
Common Law
Same Sex Partner
Name Of Current/Last Partner (even if divorced we are asked to gather this information)
Full Legal Name  
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
Middle (s)
Last (Maiden)
Place of Birth
Father's Full Legal Name  
First
Middle (s)
Last
Place of Birth
Contact Person(s) The person(s) that we are dealing with for the purpose of making the arrangements.
Full Legal Name  
First
Middle (s)
Last

Relationship To Decedent

(indicate all that apply - Executor/Executrix/Spouse/Child/etc.)

Full Address  
Address (include unit #)
City
Province/Territory
Postal Code
Phone Numbers  
Residence
Cell
Email Address
Newspaper Notice  
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

 
Memberships (Select any that apply)  
Church
Lodge/Union
Miscellaneous
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)

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)

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

Preferred method(s) of contact (check all that apply)

 Phone                 Cell                     Email