Obituaries

Floyd Romine
B: 1934-09-05
D: 2017-06-21
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Romine, Floyd
Dwayne Matthews
B: 1959-12-23
D: 2017-06-14
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Matthews, Dwayne
Reginald Miller
B: 1939-04-07
D: 2017-06-12
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Miller, Reginald
Vickie Aims
B: 1956-07-10
D: 2017-06-11
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Aims, Vickie
Arthur Baehr
B: 1940-11-10
D: 2017-06-09
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Baehr, Arthur
Mary Jones
B: 1939-09-22
D: 2017-06-06
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Jones, Mary
Patricia Landry
B: 1954-08-15
D: 2017-05-28
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Landry, Patricia
Alice Manuel
B: 1926-07-18
D: 2017-05-26
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Manuel, Alice
Verna Rudd
D: 2017-05-24
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Rudd, Verna
Kelli Bonnette
B: 1988-04-09
D: 2017-05-21
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Bonnette, Kelli
Eleanor Smith
B: 1941-04-29
D: 2017-05-18
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Smith, Eleanor
Clifford VanSlyke
B: 1929-01-08
D: 2017-05-16
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VanSlyke, Clifford
Bobbie Broussard
B: 1928-12-23
D: 2017-05-15
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Broussard, Bobbie
Marjorie Darbonne
B: 1937-08-23
D: 2017-05-13
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Darbonne, Marjorie
Blumes Joseph Briscoe
B: 1967-04-25
D: 2017-05-12
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Briscoe, Blumes Joseph
Theresa Moller
B: 1953-10-08
D: 2017-05-09
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Moller, Theresa
Brenda Loftin
B: 1943-04-16
D: 2017-05-04
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Loftin, Brenda
Louise Smith
B: 1931-10-18
D: 2017-04-29
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Smith, Louise
Glenda Mayo
B: 1945-01-08
D: 2017-04-25
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Mayo, Glenda
Abraham Juarez
B: 1938-02-11
D: 2017-04-25
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Juarez, Abraham
Florence Istre
B: 1927-10-10
D: 2017-04-24
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Istre, Florence

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I. Biographical Information
Full Name:
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:                  
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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 You In Death            
Your 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:
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The cemetery property is in the name of:
         

Miscellaneous Notes and Instructions:

         

             

       

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