Obituaries

Lejuan Holmes
B: 1971-08-27
D: 2019-04-11
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Holmes, Lejuan
Vera Shaw
B: 1936-10-24
D: 2019-04-13
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Shaw, Vera
Dolores Hanrath
B: 1923-03-18
D: 2019-04-16
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Hanrath, Dolores
Thomas O'Brien
B: 1927-08-16
D: 2019-04-10
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O'Brien, Thomas
Elizabeth Sullivan
B: 1947-03-22
D: 2019-03-17
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Sullivan, Elizabeth
Gregory Goolsby
B: 1953-03-19
D: 2019-04-15
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Goolsby, Gregory
Clifford Green
B: 1932-10-26
D: 2019-04-13
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Green, Clifford
Maxine Roach
B: 1928-01-08
D: 2019-04-12
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Roach, Maxine
Vickie Lemoine
B: 1946-09-04
D: 2019-04-08
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Lemoine, Vickie
Joe Schlinger
B: 1956-10-30
D: 2019-03-24
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Schlinger, Joe
Rodger Cody, Jr.
B: 1960-02-08
D: 2019-04-10
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Cody, Jr., Rodger
Mary Ampe
B: 1934-06-18
D: 2019-03-31
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Ampe, Mary
Arthur Halliday
B: 1943-08-05
D: 2019-04-06
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Halliday, Arthur
Gary Martin
B: 1950-07-16
D: 2019-04-06
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Martin, Gary
Gary Bradford
B: 1964-04-18
D: 2019-03-21
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Bradford, Gary
Gary McCarley
B: 1952-01-31
D: 2019-04-03
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McCarley, Gary
William Warren
B: 1933-08-23
D: 2019-04-06
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Warren, William
William Stanley
B: 1938-01-26
D: 2019-03-28
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Stanley, William
Buddy Lentz
B: 1939-05-29
D: 2019-04-03
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Lentz, Buddy
Perry Russell
B: 1954-03-15
D: 2019-04-01
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Russell, Perry
Ruby Lehman
B: 1941-07-03
D: 2019-03-23
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Lehman, Ruby

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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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