Obituaries

Albert Mitchell
B: 1924-12-18
D: 2018-12-10
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Mitchell, Albert
Kenneth Cucksee
B: 1952-06-03
D: 2018-12-14
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Cucksee, Kenneth
Keith Hendricks
B: 1943-02-26
D: 2018-12-14
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Hendricks, Keith
Clarence Lenear
B: 1950-06-28
D: 2018-12-05
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Lenear, Clarence
Ronald Stiger
B: 1944-01-24
D: 2018-12-09
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Stiger, Ronald
Cheryl Andress
B: 1948-08-27
D: 2018-12-07
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Andress, Cheryl
Leona Royalty
B: 1921-10-31
D: 2018-12-12
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Royalty, Leona
Dolores Wilson
B: 1931-12-15
D: 2018-12-09
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Wilson, Dolores
Florence Tedford
B: 1935-08-01
D: 2018-12-10
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Tedford, Florence
Michael Idlett
B: 1956-10-28
D: 2018-12-06
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Idlett, Michael
Carl Danley
B: 1943-11-14
D: 2018-12-09
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Danley, Carl
Louis Riekert
B: 1935-10-16
D: 2018-12-04
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Riekert, Louis
Troy Potts
B: 1961-02-19
D: 2018-12-06
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Potts, Troy
Juergen Achtermann
B: 1938-08-14
D: 2018-12-05
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Achtermann, Juergen
David Ashy
B: 1968-09-03
D: 2018-12-04
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Ashy, David
Donald Davis
B: 1927-05-30
D: 2018-12-03
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Davis, Donald
Helen Linton
B: 1941-01-26
D: 2018-12-02
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Linton, Helen
Lori Bates
B: 1973-10-29
D: 2018-11-26
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Bates, Lori
Steven Ruth
B: 1966-11-09
D: 2018-11-27
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Ruth, Steven
Lane Domino
B: 1952-10-02
D: 2018-11-27
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Domino, Lane
Frank Chilton
B: 1930-09-26
D: 2018-11-20
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Chilton, Frank

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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:

Miscellaneous Notes and Instructions:

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