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Deceased Information

First Name

Last Name

Date of Death

Date of Birth

Place of Death

Service

Service Type BurialCremationGraveside OnlyCustom

Primary Contact

Existing Family New Contact

Select Family -- Select --Thomas BelangerHelen BerezowskiDavid FehrMary FehrPatricia Fehr-MillsGeorge MakarchukJanet OleksynRobert Savchuk

Final Disposition

Method BurialCremationEntombmentOther

Location

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