Obituaries

Lara Cooney
B: 1976-02-12
D: 2016-04-27
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Cooney, Lara
Antonio Raguero
B: 1932-06-11
D: 2016-04-26
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Raguero, Antonio
Maureen Read
B: 1936-03-29
D: 2016-04-24
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Read, Maureen
Carolyn Maney
B: 1945-01-07
D: 2016-04-21
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Maney, Carolyn
Barbara Wadsworth
B: 1928-12-11
D: 2016-04-21
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Wadsworth, Barbara
Maxim Arsenault
B: 1979-12-19
D: 2016-04-20
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Arsenault, Maxim
Douglas Hassall
B: 1951-01-14
D: 2016-04-18
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Hassall, Douglas
Thomas Davis
B: 1973-03-28
D: 2016-04-16
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Davis, Thomas
Clara Dorosh
B: 1930-08-02
D: 2016-04-15
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Dorosh, Clara
Sandra McCarthy
B: 1967-12-28
D: 2016-04-13
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McCarthy, Sandra
Margrethe Lima
B: 1916-01-09
D: 2016-04-09
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Lima, Margrethe
Swaran Biln
B: 1926-04-29
D: 2016-04-07
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Biln, Swaran
Florence Kingston
B: 1925-03-09
D: 2016-04-02
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Kingston, Florence
Adrian Osry
B: 1940-05-09
D: 2016-03-17
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Osry, Adrian
Sarah Prunier
B: 1982-07-31
D: 2016-03-15
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Prunier, Sarah
Kevin Strachan
B: 1956-01-30
D: 2016-03-09
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Strachan, Kevin
Glyn Peter Austen
B: 1946-10-06
D: 2016-03-01
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Austen, Glyn Peter
Carole Knight
B: 1914-03-04
D: 2016-02-28
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Knight, Carole
Tanda Zeleniski
B: 1961-03-24
D: 2016-02-21
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Zeleniski, Tanda
Andrew Tait
B: 1946-12-22
D: 2016-02-14
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Tait, Andrew
Marcello Romano
B: 1926-12-21
D: 2016-02-11
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Romano, Marcello

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Box 99
Garibaldi Highlands, BC V0N 1T0
Phone: 604-898-5121
Fax: 604-898-4460

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
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Social Security 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:
Military Honors at Graveside:
Flag Preference for 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:

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