Obituaries

Jacqueline Dixon
B: 1926-05-02
D: 2017-10-15
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Dixon, Jacqueline
Merlyn Dixon
B: 1958-05-07
D: 2018-04-30
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Dixon, Merlyn
Donald Danielson
B: 1934-12-19
D: 2018-06-19
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Danielson, Donald
Rodney Mokelky
B: 1959-01-19
D: 2018-06-15
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Mokelky, Rodney
Albert Dreher
B: 1948-11-09
D: 2018-06-14
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Dreher, Albert
Lorraine Rohatyn
B: 1929-10-10
D: 2017-11-21
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Rohatyn, Lorraine
Elva Pick
B: 1916-07-18
D: 2018-06-11
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Pick, Elva
Ranald Clearwater
B: 1930-03-08
D: 2018-06-04
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Clearwater, Ranald
Ernest Foord
B: 1924-01-28
D: 2018-01-15
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Foord, Ernest
Agnes Schindel
B: 1928-07-18
D: 2018-06-02
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Schindel, Agnes
Minnie Halverson
B: 1928-10-28
D: 2018-06-05
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Halverson, Minnie
Brian Hamm
B: 1963-07-23
D: 2018-05-30
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Hamm, Brian
Dwight Thompson
B: 1962-09-14
D: 2018-05-19
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Thompson, Dwight
Harry Samenook Jr.
B: 1941-07-23
D: 2018-05-24
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Samenook Jr., Harry
Earle Mahaffy
B: 1929-06-18
D: 2018-05-21
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Mahaffy, Earle
William (Bill) Gooding
B: 1950-10-16
D: 2018-05-19
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Gooding, William (Bill)
Clara Bod
B: 1928-12-23
D: 2018-05-20
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Bod, Clara
Cst. Peter Donaldson
B: 1963-02-12
D: 2018-05-15
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Donaldson, Cst. Peter
Loretta Marcotte
B: 1926-06-12
D: 2018-05-19
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Marcotte, Loretta
Patrick Johnstone
B: 1928-02-12
D: 2018-05-20
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Johnstone, Patrick
Anton "Tony" Walliser
B: 1926-12-12
D: 2018-05-16
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Walliser, Anton "Tony"

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Estevan, SK S4A 0X6
Phone: (306) 634-8233
Fax: (306) 634-7165

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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:
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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:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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