Obituaries

Kerry Carter
B: 1966-08-14
D: 2018-01-22
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Carter, Kerry
Richard May
B: 1937-10-11
D: 2018-01-18
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May, Richard
Bruce Johnston
B: 1953-11-12
D: 2018-01-18
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Johnston, Bruce
Charlene Mutz
B: 1956-01-09
D: 2018-01-18
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Mutz, Charlene
James Falls
B: 1942-06-18
D: 2018-01-17
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Falls, James
Brenda Martin
D: 2018-01-16
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Martin, Brenda
Charles Walker
B: 1927-07-31
D: 2018-01-14
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Walker, Charles
Ileen Lopez
B: 1994-08-01
D: 2018-01-14
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Lopez, Ileen
Ira Kirtfield
B: 1945-10-09
D: 2018-01-14
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Kirtfield, Ira
Cora Tush
B: 1949-07-19
D: 2018-01-13
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Tush, Cora
David Rodgers
B: 1951-09-01
D: 2018-01-13
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Rodgers, David
Winford Hutcherson
B: 1946-09-24
D: 2018-01-11
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Hutcherson, Winford
Regina Harvey
B: 1953-09-06
D: 2018-01-11
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Harvey, Regina
Orey Seymour
B: 1938-08-03
D: 2018-01-10
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Seymour, Orey
Wilma Walker
B: 1930-01-08
D: 2018-01-09
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Walker, Wilma
David Cothern
B: 1946-02-11
D: 2018-01-09
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Cothern, David
Evalyn Jerkins
B: 1939-12-30
D: 2018-01-09
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Jerkins, Evalyn
Michael Smith
B: 1934-07-30
D: 2018-01-07
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Smith, Michael
Beverly Couevas
B: 1943-01-19
D: 2018-01-06
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Couevas, Beverly
Carolyn Davis
B: 1943-12-31
D: 2018-01-05
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Davis, Carolyn
Randall Talley
B: 1947-05-04
D: 2018-01-03
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Talley, Randall

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Ocean Springs, MS 39564
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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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