Obituaries

Richard Blanchard
B: 1945-12-18
D: 2017-09-22
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Blanchard, Richard
Brian Campbell
B: 1946-06-06
D: 2017-09-19
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Campbell, Brian
Peggy Campbell
B: 1925-11-30
D: 2017-09-17
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Campbell, Peggy
Jamie Caswell
B: 1964-11-18
D: 2017-09-14
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Caswell, Jamie
Llewellyn Neville
B: 1934-03-16
D: 2017-09-12
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Neville, Llewellyn
Jayne Mattingly
B: 1950-02-24
D: 2017-09-08
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Mattingly, Jayne
Steven Clapdorp
B: 1967-02-27
D: 2017-09-08
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Clapdorp, Steven
Norman Andrews
B: 1928-04-07
D: 2017-09-04
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Andrews, Norman
Isabelle Adams
B: 1925-08-22
D: 2017-09-03
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Adams, Isabelle
Hilda Argyle
B: 1934-05-10
D: 2017-09-03
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Argyle, Hilda
James Harmer
B: 1955-01-03
D: 2017-09-03
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Harmer, James
Stephane Gamache
B: 1968-10-23
D: 2017-08-31
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Gamache, Stephane
John Hughes
B: 1947-01-12
D: 2017-08-30
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Hughes, John
Caroline McCallum
B: 1926-05-01
D: 2017-08-24
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McCallum, Caroline
Shirley Cox
B: 1939-11-04
D: 2017-08-22
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Cox, Shirley
Bryan Greley
B: 1948-03-11
D: 2017-08-18
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Greley, Bryan
Peter Lugtenburg
B: 1947-05-21
D: 2017-08-11
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Lugtenburg, Peter
Carolyn Goar
B: 1953-06-10
D: 2017-08-10
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Goar, Carolyn
Helen Kubbinga
B: 1920-04-16
D: 2017-08-05
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Kubbinga, Helen
Donald French
B: 1932-07-02
D: 2017-08-05
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French, Donald
Phyllis Ward
B: 1929-07-24
D: 2017-07-23
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Ward, Phyllis

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4 Division St
Bowmanville, ON L1C 2Z1
Phone: 905-623-5480
Fax: 905-623-3025

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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:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file


 

 

 

 

 

 

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