Obituaries

Ann O'Neill
B: 1930-06-15
D: 2018-01-10
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O'Neill, Ann
Mina Sabbaghian
B: 1982-07-06
D: 2018-01-10
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Sabbaghian, Mina
John McIsaac
B: 1933-03-17
D: 2018-01-05
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McIsaac, John
Gerald Gerrard
B: 1936-06-18
D: 2017-12-31
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Gerrard, Gerald
Yun Chong Kim
B: 1935-12-20
D: 2017-12-24
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Kim, Yun Chong
James McKeachie
B: 1924-06-21
D: 2017-12-15
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McKeachie, James
Randy Fraser
B: 1964-10-06
D: 2017-12-13
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Fraser, Randy
Mariya Bruk
B: 1947-12-03
D: 2017-12-11
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Bruk, Mariya
Doris Jacobson
B: 1924-07-06
D: 2017-12-07
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Jacobson, Doris
Avril Sandall
B: 1926-12-19
D: 2017-11-28
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Sandall, Avril
Mavis Lytle
B: 1926-02-23
D: 2017-11-11
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Lytle, Mavis
Christopher Prior
B: 1965-11-24
D: 2017-10-14
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Prior, Christopher
Margaret Bell
B: 1929-04-23
D: 2017-10-12
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Bell, Margaret
Ali Majidi
B: 1955-02-03
D: 2017-10-10
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Majidi, Ali
Rafe Mair
B: 1931-12-31
D: 2017-10-09
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Mair, Rafe
Elsbeth Kelpin
B: 1934-03-08
D: 2017-10-08
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Kelpin, Elsbeth
Harold Duggan
B: 1961-04-04
D: 2017-10-08
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Duggan, Harold
Jakob Hirtreiter
B: 1932-02-06
D: 2017-10-07
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Hirtreiter, Jakob
Edmund Hauser
B: 1937-09-14
D: 2017-10-04
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Hauser, Edmund
Jeannette Reutcky
B: 1940-09-12
D: 2017-09-30
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Reutcky, Jeannette
Maurice Skiffington
B: 1928-06-05
D: 2017-09-20
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Skiffington, Maurice

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West Vancouver, BC V7T 1A2
Phone: 604-926-5121
Fax: 604-922-1666

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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:
Please select Grade/Years of Education completed:
   
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:

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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