Obituaries

Maurgret Wilburn
B: 1925-08-03
D: 2024-06-09
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Wilburn, Maurgret
Margaret Groff
B: 1950-09-08
D: 2024-05-31
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Groff, Margaret
Fred Pylate
B: 1932-05-18
D: 2024-06-09
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Pylate, Fred
Ivar Christensen
B: 1943-10-12
D: 2024-05-29
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Christensen, Ivar
Stuart Watson
B: 1967-03-30
D: 2024-06-06
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Watson, Stuart
Georgia Tomczak
B: 1944-01-01
D: 2024-06-03
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Tomczak, Georgia
Clyde Bush
B: 1927-02-11
D: 2024-05-06
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Bush, Clyde
Barbara Nicholes
B: 1932-07-05
D: 2024-05-29
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Nicholes, Barbara
Yolanda Priddy
B: 1946-12-23
D: 2024-05-30
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Priddy, Yolanda
Doris Stepanski
B: 1936-09-16
D: 2024-05-21
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Stepanski, Doris
Robert Avery
B: 1945-08-02
D: 2024-05-31
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Avery, Robert
Charlotte Holt
B: 1943-10-08
D: 2024-06-03
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Holt, Charlotte
Barbara Williams
B: 1930-12-31
D: 2024-05-26
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Williams, Barbara
Betty Malecki
B: 1940-09-15
D: 2024-05-31
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Malecki, Betty
James Freeman
B: 1953-01-28
D: 2024-05-28
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Freeman, James
Brenda Bissell
B: 1953-01-21
D: 2024-05-28
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Bissell, Brenda
Ramona Simmons
B: 1944-11-01
D: 2024-05-19
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Simmons, Ramona
Helen Veasaw
B: 1929-12-18
D: 2024-04-30
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Veasaw, Helen
Gilberto Rios
B: 1965-02-04
D: 2024-05-11
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Rios, Gilberto
Billy Creel
B: 1938-11-01
D: 2024-05-08
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Creel, Billy
Alan Gray
B: 1993-08-18
D: 2024-05-13
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Gray, Alan

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2602 South Houston Avenue
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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