Obituaries

Bennett Martin
B: 2018-02-15
D: 2018-02-15
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Martin, Bennett
Jack Blount
B: 1936-09-01
D: 2018-02-14
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Blount, Jack
Joseph Robicheaux
B: 1969-04-13
D: 2018-02-21
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Robicheaux, Joseph
Raymond Ramirez
B: 1936-12-16
D: 2018-02-23
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Ramirez, Raymond
Melissa Newkirk
B: 1967-05-05
D: 2018-02-19
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Newkirk, Melissa
Arthur Krzyzanowski
B: 1932-12-03
D: 2018-01-21
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Krzyzanowski, Arthur
Richard Hense
B: 1952-06-06
D: 2018-02-09
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Hense, Richard
Gregg Eaton
B: 1969-07-08
D: 2018-02-12
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Eaton, Gregg
Lillie Kiger
B: 1934-02-18
D: 2018-02-18
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Kiger, Lillie
Doris Boudreaux
B: 1934-11-22
D: 2018-02-16
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Boudreaux, Doris
Barbara Parks
B: 1950-12-28
D: 2018-02-11
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Parks, Barbara
Thomas Shea
B: 1988-02-08
D: 2018-02-08
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Shea, Thomas
Michael Hart
B: 1951-04-13
D: 2018-02-09
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Hart, Michael
John Burley
B: 1931-04-10
D: 2018-02-12
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Burley, John
Denice Bonnett
B: 1969-03-25
D: 2018-02-12
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Bonnett, Denice
Theresa Kone
B: 1922-12-30
D: 2018-02-11
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Kone, Theresa
Terry Adams
B: 1956-05-02
D: 2018-02-09
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Adams, Terry
Frances Monk
B: 1939-06-15
D: 2018-02-09
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Monk, Frances
Barney Bryant
B: 1941-02-22
D: 2018-02-04
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Bryant, Barney
Lex Baquer
B: 1933-07-04
D: 2018-02-07
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Baquer, Lex
Ruth Cain
B: 1928-11-26
D: 2018-02-10
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Cain, Ruth

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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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