Obituaries

Margaret Burkitt
B: 1929-03-10
D: 2017-05-14
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Burkitt, Margaret
Donald Hill
B: 1943-05-13
D: 2017-04-26
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Hill, Donald
Dorothy Wolter
B: 1933-12-09
D: 2017-04-22
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Wolter, Dorothy
Patricia Ullyott
B: 1935-06-26
D: 2017-04-18
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Ullyott, Patricia
Cameron Gingrich
B: 1923-08-30
D: 2017-04-16
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Gingrich, Cameron
Doreen Jantz
B: 1918-10-27
D: 2017-03-24
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Jantz, Doreen
Lawrence Beeler
B: 1945-08-04
D: 2017-03-23
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Beeler, Lawrence
Walter Klypak
B: 1934-05-04
D: 2017-03-10
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Klypak, Walter
Mary Bergen
B: 1926-01-15
D: 2017-02-17
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Bergen, Mary
Earl Dahl
B: 1926-02-20
D: 2017-01-15
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Dahl, Earl
Royena DeClercq
B: 1926-10-25
D: 2017-01-14
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DeClercq, Royena
Kayden Dengler
B: 2016-11-27
D: 2017-01-09
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Dengler, Kayden
Jean Peterson
B: 1918-06-02
D: 2016-12-29
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Peterson, Jean
Lillian Vance
B: 1936-10-19
D: 2016-12-18
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Vance, Lillian
Agnes Bushman
B: 1927-03-25
D: 2016-12-13
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Bushman, Agnes
Roger Schmidt
B: 1958-02-05
D: 2016-12-11
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Schmidt, Roger
Waldemor Penner
B: 1936-08-11
D: 2016-11-29
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Penner, Waldemor
John Gibney
B: 1927-11-22
D: 2016-11-18
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Gibney, John
Frank Fedor
B: 1932-07-30
D: 2016-11-17
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Fedor, Frank
Kluzy Muyco
B: 1976-01-02
D: 2016-11-10
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Muyco, Kluzy
Maynard Phillips
B: 1938-04-15
D: 2016-11-02
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Phillips, Maynard

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Phone: (306) 946-3334
Fax: (306) 946-3436

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I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
Province:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
Province 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:

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