Page 24 - Pattison Funeral Home
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About me: ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Marriage: (See previous page)
Common-Law with:_____________________________ As of ________________________________ (These dates are important for the Canada pension application for spousal benefits)
Children:
     Name
Spouse
Surname
City of residence
      Grandchildren:
   Name
Spouse
Surname
City of residence
       Siblings:
   Name
Spouse
Surname
City of residence
        Page 24 - Pattison Funeral Home













































































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