Obituaries

Helen Barfield
B: 1933-01-14
D: 2019-04-21
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Barfield, Helen
David Schaumburg
B: 1948-11-12
D: 2019-04-09
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Schaumburg, David
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
Harry Mitchell
B: 1934-10-03
D: 2019-04-17
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Mitchell, Harry
Benjamin Simmons
B: 1972-02-06
D: 2019-04-20
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Simmons, Benjamin
Marjorie Dodgen
B: 1924-10-18
D: 2019-04-21
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Dodgen, Marjorie
Marilyn Mobley
B: 1934-05-30
D: 2019-04-20
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Mobley, Marilyn
Dorothy Ruffin
B: 1933-07-03
D: 2019-04-21
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Ruffin, Dorothy
Dolores Hanrath
B: 1923-03-18
D: 2019-04-16
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Hanrath, Dolores
Thomas Starkey
B: 1930-03-22
D: 2019-04-19
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Starkey, Thomas
Gregory Martin
B: 1964-03-02
D: 2019-04-17
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Martin, Gregory
Ethan Avalos
B: 2019-04-18
D: 2019-04-20
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Avalos, Ethan
John Ezell
B: 1922-02-09
D: 2019-04-19
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Ezell, John
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

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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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