Obituaries

Ada Loveless
B: 1931-05-17
D: 2022-09-21
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Loveless, Ada
Margaret Ryan
B: 1943-08-28
D: 2022-09-21
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Ryan, Margaret
Caroline Crewe
B: 1931-07-31
D: 2022-09-18
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Crewe, Caroline
Ivy Northcotte
B: 1943-10-09
D: 2022-09-14
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Northcotte, Ivy
George Roberts
B: 1938-09-26
D: 2022-09-13
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Roberts, George
Kevin Crant
B: 1967-07-24
D: 2022-09-11
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Crant, Kevin
Sheila Blagdon
B: 1962-01-29
D: 2022-09-05
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Blagdon, Sheila
Baby Hannah John
B: 2022-07-25
D: 2022-08-30
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John, Baby Hannah
Rebecca Lee
B: 1930-10-28
D: 2022-08-27
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Lee, Rebecca
John Sostakas
B: 1950-03-31
D: 2022-08-18
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Sostakas, John
Helena Crant
B: 1933-05-24
D: 2022-08-17
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Crant, Helena
Roy Loveless
B: 1953-01-26
D: 2022-08-14
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Loveless, Roy
Ruth Priddle
B: 1927-11-04
D: 2022-08-10
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Priddle, Ruth
Ernest Day
B: 1939-05-05
D: 2022-08-09
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Day, Ernest
Emmanuel Savoury
B: 1951-08-04
D: 2022-08-08
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Savoury, Emmanuel
Eva Pierce
B: 1952-08-03
D: 2022-07-29
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Pierce, Eva
Darryl Molloy
B: 1969-07-21
D: 2022-07-28
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Molloy, Darryl
Roland Fudge
B: 1939-09-05
D: 2022-07-25
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Fudge, Roland
Hilda Keeping
B: 1970-05-13
D: 2022-07-07
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Keeping, Hilda
Genevieve Hearn
B: 1939-01-24
D: 2022-07-04
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Hearn, Genevieve
Leroy Engram
B: 1964-05-17
D: 2022-07-04
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Engram, Leroy

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P. O. Box 248
190 Canada Drive
Harbour Breton, NL A0H 1P0
Phone: 709-885-2609
Fax: 709-885-3025

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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 place my information on file