Obituaries

Florence Hooper
B: 1927-05-09
D: 2017-04-21
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Hooper, Florence
William Conder
B: 1938-02-17
D: 2017-04-17
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Conder, William
Jeltje Bottrell
B: 1932-01-08
D: 2017-04-17
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Bottrell, Jeltje
Lea Elliott
B: 1940-01-04
D: 2017-04-15
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Elliott, Lea
Evelyn Woolner
B: 1928-04-07
D: 2017-04-14
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Woolner, Evelyn
Beryl Clarke
B: 1934-12-17
D: 2017-04-14
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Clarke, Beryl
Cheryl Gill
B: 1949-03-23
D: 2017-04-12
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Gill, Cheryl
Ben Mertel
B: 1938-12-13
D: 2017-04-11
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Mertel, Ben
Eleanor Armstrong
B: 1937-10-12
D: 2017-04-11
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Armstrong, Eleanor
Philomena Lalvani
B: 1933-10-06
D: 2017-04-10
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Lalvani, Philomena
Patricia Warner
B: 1943-03-17
D: 2017-04-08
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Warner, Patricia
Diane Hamre
B: 1939-06-27
D: 2017-04-06
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Hamre, Diane
Ross Brown
B: 1934-10-05
D: 2017-04-05
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Brown, Ross
Dorothy Morris
B: 1925-08-11
D: 2017-04-01
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Morris, Dorothy
Lucia Infelise
B: 1926-11-01
D: 2017-04-01
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Infelise, Lucia
Dean Heard
B: 1944-03-08
D: 2017-03-30
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Heard, Dean
Edith Bentley
B: 1918-04-14
D: 2017-03-29
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Bentley, Edith
Albert Chapple
B: 1931-02-24
D: 2017-03-24
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Chapple, Albert
Francois Rochefort
B: 1930-09-28
D: 2017-03-24
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Rochefort, Francois
Thomas Hamre
B: 1965-06-15
D: 2017-03-24
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Hamre, Thomas
Donald Conway
B: 1939-06-07
D: 2017-03-17
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Conway, Donald

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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:

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Please contact me to schedule an appointment

Please place my information on file


 

 

 

 

 

 

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