Obituaries

James Richards
B: 1927-01-10
D: 2018-10-02
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Richards, James
Joan Klopp
B: 1944-01-02
D: 2018-10-02
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Klopp, Joan
Izabela Biggar
B: 2017-10-30
D: 2018-10-03
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Biggar, Izabela
Shirley Bankston
B: 1940-07-22
D: 2018-10-12
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Bankston, Shirley
Larry Moran
B: 1957-08-22
D: 2018-10-08
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Moran, Larry
Richard Watson
B: 1956-07-25
D: 2018-10-11
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Watson, Richard
Maria Mondragon
B: 1946-12-14
D: 2018-10-06
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Mondragon, Maria
Janice Zuckero
B: 1951-11-24
D: 2018-10-09
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Zuckero, Janice
Helen Patterson
B: 1947-07-14
D: 2018-10-04
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Patterson, Helen
Denise Gilmer
B: 1963-04-26
D: 2018-10-09
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Gilmer, Denise
Misty Gamble
B: 1977-07-29
D: 2018-10-07
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Gamble, Misty
Shelia Laake
B: 1958-06-16
D: 2018-10-04
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Laake, Shelia
James Page
B: 1950-07-25
D: 2018-10-01
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Page, James
Amy Eskelund
B: 1972-07-27
D: 2018-10-01
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Eskelund, Amy
Stella Bartel
B: 1939-05-31
D: 2018-09-22
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Bartel, Stella
Kenneth Bradshaw
B: 1943-03-06
D: 2018-09-23
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Bradshaw, Kenneth
Don Cannon
B: 2001-05-14
D: 2018-09-30
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Cannon, Don
Brenda Allen
B: 1954-10-07
D: 2018-09-30
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Allen, Brenda
Betty Staggs Hefflefinger
B: 1934-07-22
D: 2018-09-28
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Hefflefinger, Betty Staggs
Earlene Slaughter
B: 1926-04-14
D: 2018-09-26
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Slaughter, Earlene
Gilberto Camacho
B: 1971-10-28
D: 2018-09-26
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Camacho, Gilberto

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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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