Obituaries

Deborah Brooks
B: 1954-02-11
D: 2018-10-10
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Brooks, Deborah
Eugenia Poplin
B: 1944-06-18
D: 2018-10-07
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Poplin, Eugenia
James Nash
B: 1935-08-08
D: 2018-10-07
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Nash, James
Catherine Overman
B: 1935-11-01
D: 2018-10-07
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Overman, Catherine
Velma Goff
B: 1930-02-26
D: 2018-10-06
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Goff, Velma
Mark Reece
B: 1960-08-20
D: 2018-10-05
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Reece, Mark
Nancy Hamilton
B: 1978-11-16
D: 2018-10-05
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Hamilton, Nancy
Linda Dubose
B: 1944-11-04
D: 2018-10-03
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Dubose, Linda
Silas Cruthirds
B: 1953-04-08
D: 2018-10-03
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Cruthirds, Silas
Randell Brewer
B: 1946-07-18
D: 2018-09-28
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Brewer, Randell
Jessica Gandy
B: 1987-10-08
D: 2018-09-25
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Gandy, Jessica
Mary Tapp
B: 1934-09-07
D: 2018-09-21
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Tapp, Mary
Samuel Wilson
B: 1960-11-11
D: 2018-09-20
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Wilson, Samuel
Ina Clarke
B: 1923-04-15
D: 2018-09-19
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Clarke, Ina
Marilyn Deberry
B: 1926-06-11
D: 2018-09-18
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Deberry, Marilyn
James Fountain
B: 1942-10-26
D: 2018-09-16
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Fountain, James
Selena Thomas
B: 1953-05-12
D: 2018-09-13
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Thomas, Selena
Judy Weissrock
B: 1950-12-15
D: 2018-09-11
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Weissrock, Judy
Elwood Fergonise
B: 1941-09-15
D: 2018-09-09
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Fergonise, Elwood
Stephen Mathis
B: 1955-09-21
D: 2018-09-09
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Mathis, Stephen
Clifford Cartwright
B: 1947-04-19
D: 2018-09-08
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Cartwright, Clifford

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Ocean Springs, MS 39564
Phone: (228) 872-3637
Fax: (228) 872-3638

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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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