Obituaries

Barbara King
B: 1944-03-30
D: 2017-10-14
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King, Barbara
Keith Larson
B: 1947-03-01
D: 2017-10-12
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Larson, Keith
Altha Houser
B: 1925-07-23
D: 2017-10-17
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Houser, Altha
Linda Minton
B: 1943-11-09
D: 2017-10-17
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Minton, Linda
David Johnston
B: 1933-07-11
D: 2017-10-06
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Johnston, David
Jon Stone
B: 1962-09-12
D: 2017-10-08
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Stone, Jon
Frances Stanley
B: 1939-08-25
D: 2017-10-03
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Stanley, Frances
Richard Codner
B: 1935-01-26
D: 2017-10-16
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Codner, Richard
Brittany Medina
B: 1986-04-26
D: 2017-10-10
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Medina, Brittany
Ronald "Bruce" Long
B: 1962-08-09
D: 2017-09-29
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Long, Ronald "Bruce"
Chuck Lay
B: 1930-12-28
D: 2017-09-08
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Lay, Chuck
Frank Kosub
B: 1947-09-09
D: 2017-10-08
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Kosub, Frank
Timothy Puent
B: 1961-11-04
D: 2017-10-04
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Puent, Timothy
William "Bill" Whitton
B: 1926-11-17
D: 2017-10-11
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Whitton, William "Bill"
Bertha Newton
B: 1920-08-06
D: 2017-10-07
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Newton, Bertha
Mary Sharpless
B: 1924-01-26
D: 2017-10-10
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Sharpless, Mary
Jonathan Parker
B: 1954-06-16
D: 2017-10-06
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Parker, Jonathan
Willa Seale
B: 1931-07-05
D: 2017-10-08
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Seale, Willa
John Grey
B: 1927-09-16
D: 2017-10-06
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Grey, John
Bryan Schwartz
B: 1961-10-13
D: 2017-05-23
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Schwartz, Bryan
Eric Swendsen
B: 1987-08-11
D: 2017-10-02
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Swendsen, Eric

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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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