Obituaries

Kindal Mosley
B: 1992-10-14
D: 2020-06-27
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Mosley, Kindal
Jeffery Robinson
B: 1966-09-20
D: 2020-07-04
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Robinson, Jeffery
George Smith
B: 1949-10-05
D: 2020-07-03
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Smith, George
James Cloberdants
B: 1970-11-25
D: 2020-06-30
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Cloberdants, James
Jeraldine Orsak
B: 1943-11-28
D: 2020-07-02
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Orsak, Jeraldine
Angela Cooper
B: 1966-10-08
D: 2020-07-02
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Cooper, Angela
Glenda McCabe
B: 1960-10-16
D: 2020-06-28
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McCabe, Glenda
Raul Velazquez
B: 1957-11-15
D: 2020-06-20
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Velazquez, Raul
Vincent Meriano
B: 1934-12-16
D: 2020-06-27
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Meriano, Vincent
Steven Varney
B: 1957-03-04
D: 2020-06-22
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Varney, Steven
Ronald Barrett
B: 1949-11-09
D: 2020-06-28
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Barrett, Ronald
Flora Butler
B: 1922-09-17
D: 2020-06-27
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Butler, Flora
Thomas Graff
B: 1953-07-15
D: 2020-06-28
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Graff, Thomas
Terry Green
B: 1956-10-14
D: 2020-06-26
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Green, Terry
Floy Vessakosol
B: 1940-10-06
D: 2020-06-24
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Vessakosol, Floy
Kimberley Martinez
B: 1974-03-06
D: 2020-06-23
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Martinez, Kimberley
Barbara Fisher
B: 1935-06-25
D: 2020-06-23
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Fisher, Barbara
Samuel Brown
B: 1941-05-06
D: 2020-06-26
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Brown, Samuel
Robert LaCoure
B: 1935-04-09
D: 2020-03-20
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LaCoure, Robert
Preston Fann
B: 1947-01-18
D: 2020-06-23
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Fann, Preston
Sumner Tripp
B: 1939-05-25
D: 2020-06-22
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Tripp, Sumner

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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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