Obituaries

Patricia Daw
B: 1936-04-01
D: 2017-08-02
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Daw, Patricia
Blanche Dobbins
B: 1955-01-15
D: 2017-08-13
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Dobbins, Blanche
Emilia Veloso
B: 1938-05-28
D: 2017-08-16
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Veloso, Emilia
Larry McIntyre
B: 1944-09-07
D: 2017-08-18
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McIntyre, Larry
Ricardo Ruiz
B: 1940-05-26
D: 2017-08-06
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Ruiz, Ricardo
Serenity Kull
B: 2016-02-25
D: 2017-08-12
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Kull, Serenity
Isaac Wilson
B: 1940-06-12
D: 2017-08-10
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Wilson, Isaac
Judith Osburn
B: 1958-06-13
D: 2017-08-12
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Osburn, Judith
Betty Cavanagh
B: 1946-05-06
D: 2017-08-04
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Cavanagh, Betty
Donald Eppoleto
B: 1944-03-06
D: 2017-08-10
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Eppoleto, Donald
Donna Wells
B: 1946-07-09
D: 2017-07-15
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Wells, Donna
Ronald Dodd
B: 1942-08-15
D: 2017-08-11
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Dodd, Ronald
Kitty Klitus
B: 1934-10-03
D: 2017-08-11
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Klitus, Kitty
Barbara Walker
B: 1943-10-23
D: 2017-08-09
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Walker, Barbara
George Gerszen
B: 1934-01-11
D: 2017-08-12
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Gerszen, George
Thomas Walters
B: 1935-02-05
D: 2017-08-08
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Walters, Thomas
Cindy Biles
B: 1941-05-08
D: 2017-08-04
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Biles, Cindy
Major Harry Burns
B: 1925-11-21
D: 2017-08-06
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Burns, Major Harry
Christie Osborn
B: 1951-02-09
D: 2017-08-01
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Osborn, Christie
Deborah Canterberry
B: 1960-06-22
D: 2017-08-02
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Canterberry, Deborah
Dolores Glover
B: 1931-08-22
D: 2017-08-04
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Glover, Dolores

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2602 South Houston Avenue
Humble, TX 77396
Phone: 281-441-2171
Fax: 281-441-1445

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security 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:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

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