Obituaries

June Mullen
B: 1955-06-12
D: 2018-06-20
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Mullen, June
Bruno Pepin
B: 1954-04-11
D: 2018-06-16
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Pepin, Bruno
Ralph Porter
B: 1934-06-06
D: 2018-06-15
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Porter, Ralph
Mildred Gillott
B: 1929-07-29
D: 2018-06-13
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Gillott, Mildred
Dorothy Baker
B: 1929-07-21
D: 2018-06-12
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Baker, Dorothy
Carol Simms
B: 1950-11-08
D: 2018-06-12
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Simms, Carol
Edna Bell
B: 1918-05-24
D: 2018-06-10
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Bell, Edna
Paul Eves
B: 1929-11-16
D: 2018-06-10
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Eves, Paul
Mary Murphy
B: 1927-12-26
D: 2018-06-07
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Murphy, Mary
Robert Lewis
B: 1945-01-16
D: 2018-06-07
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Lewis, Robert
Susan Bertling
B: 1953-08-07
D: 2018-06-07
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Bertling, Susan
Joseph Bouthillette
B: 1960-12-02
D: 2018-06-06
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Bouthillette, Joseph
Mary Huffman
B: 1920-09-06
D: 2018-06-06
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Huffman, Mary
Emily Teeple
B: 2001-10-24
D: 2018-06-05
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Teeple, Emily
Mary Pauline Gallagher
B: 1937-08-01
D: 2018-05-31
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Gallagher, Mary Pauline
Kimberly Gavlas
B: 1970-08-22
D: 2018-05-30
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Gavlas, Kimberly
William Pischke
B: 1923-09-27
D: 2018-05-27
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Pischke, William
Edna Belanger
B: 1940-02-11
D: 2018-05-26
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Belanger, Edna
Lloyd Gulley
B: 1941-08-15
D: 2018-05-25
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Gulley, Lloyd
Allison Van Hoek
B: 1979-02-06
D: 2018-05-24
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Van Hoek, Allison
lilazzandroff Chickalo
B: 1942-05-01
D: 2018-05-23
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Chickalo, lilazzandroff

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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:
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Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
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:
Music Selection:
Jewelry:
Glasses:
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Cemetery Name:
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The cemetery property is in the name of:

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