Obituaries

Gerard Pelletier
B: 1929-02-10
D: 2017-08-18
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Pelletier, Gerard
Evelyn Andrews
B: 1952-09-03
D: 2017-08-15
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Andrews, Evelyn
Paulette Shewfelt
B: 1965-04-28
D: 2017-08-14
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Shewfelt, Paulette
Nadège Krause
B: 1936-03-23
D: 2017-08-14
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Krause, Nadège
John "Jack" Dodds
B: 1942-05-29
D: 2017-08-12
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Dodds, John "Jack"
Brian Valcourt
B: 1955-06-18
D: 2017-08-11
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Valcourt, Brian
Victor Baldock
B: 1925-07-28
D: 2017-08-09
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Baldock, Victor
Brenda Klippenstine
B: 1953-05-31
D: 2017-08-08
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Klippenstine, Brenda
Sonja Larson
B: 1955-10-27
D: 2017-08-08
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Larson, Sonja
Katherina Macaulay
B: 1940-11-28
D: 2017-08-07
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Macaulay, Katherina
Lois Bullion
B: 1959-10-03
D: 2017-08-07
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Bullion, Lois
Dawna Makein
B: 1954-11-19
D: 2017-08-06
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Makein, Dawna
Helen Dyck
B: 1944-12-21
D: 2017-08-05
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Dyck, Helen
Marilyn Penner
B: 1943-09-14
D: 2017-07-31
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Penner, Marilyn
Clifford Ferris
B: 1932-09-14
D: 2017-07-30
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Ferris, Clifford
John Hamilton
B: 1922-08-30
D: 2017-07-29
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Hamilton, John
Rose Lampertz
B: 1925-04-21
D: 2017-07-29
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Lampertz, Rose
Gertrude Templeton
B: 1921-05-22
D: 2017-07-27
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Templeton, Gertrude
Blythe Yates
B: 1939-06-10
D: 2017-07-21
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Yates, Blythe
Bernice Browett
B: 1931-04-29
D: 2017-07-20
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Browett, Bernice
Kathleen Smith
B: 1922-03-19
D: 2017-07-20
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Smith, Kathleen

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330-18th Street North
Brandon, MB R7A 7P3
Phone: 204-727-0330
Fax: 204-725-0971

Immediate Need


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:
Social Insurance Number:
Father's Name:
Father's Place of Birth:
Mother's Name:
Mother's Place of Birth:
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:

II. Military Record

Veteran:
Branch of Service:
Regimental Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Time of Military Service:

III. Service Preferences

Type of Service:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Disposition:
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

This form does not have to be completed in its entirety.  Your funeral director will assist you and answer any questions you may have.  please call 204-727-0330 for immediate assistance.

 

 

 

 

 

 

 

 

 

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