Obituaries

Thelma Bettis
B: 1932-09-12
D: 2020-02-09
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Bettis, Thelma
Laura Holloway
B: 1985-08-31
D: 2020-01-22
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Holloway, Laura
Evelyn Jenkins
B: 1935-05-05
D: 2020-02-11
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Jenkins, Evelyn
Thomas Saunders
B: 1959-03-28
D: 2020-02-15
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Saunders, Thomas
Norma Hicks
B: 1935-01-14
D: 2020-02-13
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Hicks, Norma
Unavesta Robeson
B: 1942-02-03
D: 2020-02-11
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Robeson, Unavesta
John Flournoy
B: 1944-06-26
D: 2020-02-12
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Flournoy, John
Daniela Barrios
B: 2015-12-16
D: 2020-02-15
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Barrios, Daniela
Jim Martin
B: 1941-11-19
D: 2020-02-12
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Martin, Jim
Ed Letscher
B: 1941-12-03
D: 2020-01-11
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Letscher, Ed
Donald Wingerson
B: 1929-02-14
D: 2020-02-06
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Wingerson, Donald
Roy Poindexter
B: 1955-08-02
D: 2020-02-09
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Poindexter, Roy
Steve Sanchez
B: 1955-11-20
D: 2020-01-31
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Sanchez, Steve
William Ingersoll
B: 1979-08-16
D: 2020-02-07
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Ingersoll, William
Preston Young
B: 1994-07-17
D: 2020-02-03
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Young, Preston
Farron Young
B: 1961-05-24
D: 2020-02-03
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Young, Farron
Ceaser Moore
B: 1934-05-29
D: 2020-02-01
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Moore, Ceaser
Dolores Pena
B: 1935-09-16
D: 2020-02-04
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Pena, Dolores
Brenda Prothe
B: 1958-01-02
D: 2020-02-03
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Prothe, Brenda
Ruth Billings
B: 1937-10-23
D: 2020-02-02
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Billings, Ruth
Durlion Osborne
B: 1939-08-25
D: 2020-02-03
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Osborne, Durlion

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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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