Obituaries

Rachel Williams
B: 1970-01-31
D: 2017-12-08
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Williams, Rachel
Elizabeth Shuler
B: 1954-12-29
D: 2017-12-09
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Shuler, Elizabeth
Jollykutty Mathew
B: 1959-03-01
D: 2017-12-10
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Mathew, Jollykutty
Raymond Glass
B: 1942-05-14
D: 2017-12-08
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Glass, Raymond
Julia Blasingim
B: 1944-03-15
D: 2017-12-06
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Blasingim, Julia
Ilene McDermott
B: 1931-08-10
D: 2017-12-05
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McDermott, Ilene
Bobby Smith
B: 1931-04-06
D: 2017-12-08
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Smith, Bobby
Atteh "Caleb" Nelson
B: 1999-01-15
D: 2017-11-09
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Nelson, Atteh "Caleb"
Sharon Stuckwish
B: 1952-04-18
D: 2017-12-01
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Stuckwish, Sharon
Eddie Hickman, Jr.
B: 1961-08-31
D: 2017-12-04
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Hickman, Jr., Eddie
Leslie Wemple
B: 1966-11-03
D: 2017-12-03
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Wemple, Leslie
Vivian Hay
B: 1931-05-18
D: 2017-12-05
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Hay, Vivian
Tina Guerrero
B: 1977-06-18
D: 2017-11-27
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Guerrero, Tina
Fritz Byer
B: 1933-06-22
D: 2017-11-30
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Byer, Fritz
Edward Stowell
B: 1941-10-16
D: 2017-11-27
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Stowell, Edward
James Divins
B: 1967-07-28
D: 2017-11-26
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Divins, James
Casey Leitner
B: 1977-09-17
D: 2017-11-18
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Leitner, Casey
Dayten Martin
B: 2002-05-27
D: 2017-11-22
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Martin, Dayten
Elizabeth Rodd-Biles
B: 1933-05-26
D: 2017-11-29
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Rodd-Biles, Elizabeth
Roger Morrison
B: 1964-02-16
D: 2017-11-19
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Morrison, Roger
Javier Celaya
B: 1937-12-17
D: 2017-11-28
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Celaya, Javier

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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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