A Caring Not-For-Profit, Non-Denominational Sarnia Cemetery Since 1879.
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Vital Statistics Form For Deceased
Plan ahead, pre-plan today.
Learn More
Please use this form to get started on pre-planning or arranging a service of your choice.
Date
Full Burial
Yes
Cremation
Yes
Last Name
Given Name
Address
City
Postal Code
Phone Number
Gender
Select one...
Male
Female
S.I.N.
Date of Birth
Date of Death
Place of Birth
Place of Death
Age
Marital Status
Occupation
Type of Industry
Name of Father
Birthplace
Name of Mother
Birthplace
Mothers Maiden Name
Name of Informant
Relationship
Address
Telephone
Email
Spouse Name
Maiden Name
Date of Birth
Survivor Information
Select one...
Husband
Wife
Sons
Daughters
Brothers
Sisters
Number of Grandchildren
Number of Great Grandchildren
Notes
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Licensed under:
Funeral Establishment
Class 1 Licence FE-1532
Cemetery CM 01815
Crematorium CR-01815
Full Burial
Cremation
Memorialization
Pre-Planning
Funeral Pricing
Cemetery Pricing
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Contact Us
BAO - Consumer Information Guide
1016 Colborne Rd, Sarnia,
ON N7V 3K7
mainoffice@LakeviewCemetery.ca
519-337-5761
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