Obituaries

Janet Beckmann
B: 1943-07-15
D: 2018-04-17
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Beckmann, Janet
Evelyn Beaty
B: 1936-02-23
D: 2018-04-16
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Beaty, Evelyn
Richard Boone
B: 1943-07-27
D: 2018-04-18
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Boone, Richard
Gerard Baldwin
B: 1929-01-07
D: 2018-04-18
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Baldwin, Gerard
Anna Cockrell
B: 1919-08-11
D: 2018-04-12
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Cockrell, Anna
Elaine Swank
B: 1933-10-26
D: 2018-04-17
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Swank, Elaine
Judith Mushinski
B: 1962-08-31
D: 2018-04-16
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Mushinski, Judith
Robert Cullum
B: 1957-12-17
D: 2018-04-18
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Cullum, Robert
Barbara Gage
B: 1935-09-01
D: 2018-04-10
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Gage, Barbara
Richard English
B: 1960-03-18
D: 2018-04-10
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English, Richard
Telly Vargas
B: 1951-03-21
D: 2018-04-13
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Vargas, Telly
Russell Vizena
B: 1952-06-14
D: 2018-04-17
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Vizena, Russell
Cynthia Bornsheuer
B: 1951-06-01
D: 2018-04-13
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Bornsheuer, Cynthia
Nebia Smith
B: 1927-05-18
D: 2018-04-15
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Smith, Nebia
Shirley Guthrie
B: 1940-07-23
D: 2018-04-15
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Guthrie, Shirley
Marian Cochran
D: 2018-03-24
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Cochran, Marian
Audrey Burge
B: 1956-02-13
D: 2018-04-05
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Burge, Audrey
Ismael Del Valle
B: 1958-12-25
D: 2018-04-11
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Del Valle, Ismael
Janet Hearn
B: 1935-04-04
D: 2018-04-10
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Hearn, Janet
Truitt Spivey
B: 1934-02-15
D: 2018-04-08
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Spivey, Truitt
Bernice Smith
B: 1924-01-14
D: 2018-04-07
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Smith, Bernice

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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:

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