Obituaries

Patricia Bruns
B: 1951-01-28
D: 2019-01-29
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Bruns, Patricia
Wanda Paschal
B: 1937-06-14
D: 2019-02-17
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Paschal, Wanda
Chirie Norsworthy
B: 1960-02-05
D: 2019-01-19
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Norsworthy, Chirie
Truman Boyd
B: 1932-10-10
D: 2019-02-12
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Boyd, Truman
Elaine Taylor
B: 1953-09-23
D: 2019-02-13
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Taylor, Elaine
Carlton McCall
B: 1941-01-12
D: 2019-01-22
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McCall, Carlton
Isaac Silos
B: 1930-01-26
D: 2019-02-16
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Silos, Isaac
Beatrice Davidson
B: 1919-12-08
D: 2019-02-14
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Davidson, Beatrice
Carolyn Chemin
B: 1940-11-26
D: 2019-02-16
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Chemin, Carolyn
Carolyn Breshears
B: 1949-05-05
D: 2019-02-15
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Breshears, Carolyn
Stephen Jackson
B: 1971-08-31
D: 2019-02-12
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Jackson, Stephen
Theresa Imai
B: 1921-05-13
D: 2019-02-03
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Imai, Theresa
David Carl
B: 1939-04-16
D: 2019-02-11
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Carl, David
Sandra Lupton
B: 1945-02-10
D: 2019-02-09
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Lupton, Sandra
Randall Shaw
B: 1971-01-20
D: 2019-02-07
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Shaw, Randall
George Reeves
B: 1945-07-16
D: 2019-02-09
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Reeves, George
Justin Hicks
B: 1987-03-30
D: 2019-02-02
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Hicks, Justin
Bobby Parr
B: 1934-10-27
D: 2019-02-03
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Parr, Bobby
James Barnette
B: 1945-02-26
D: 2019-02-04
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Barnette, James
Wayne Davis
B: 1939-09-06
D: 2019-01-31
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Davis, Wayne
Milton Gaskin
B: 1940-05-29
D: 2019-02-03
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Gaskin, Milton

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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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