Obituaries

Lois Miller
B: 1931-09-13
D: 2018-12-12
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Miller, Lois
Deborah Hann
B: 1943-12-22
D: 2018-12-09
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Hann, Deborah
Eugene Galassi
B: 1940-06-14
D: 2018-12-04
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Galassi, Eugene
Henry Farmer
B: 1952-10-09
D: 2018-12-03
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Farmer, Henry
Bert Flack
B: 1936-02-08
D: 2018-12-02
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Flack, Bert
Douglas Stiles
B: 1950-08-24
D: 2018-11-29
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Stiles, Douglas
LaFrance Batia
B: 1939-03-04
D: 2018-11-29
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Batia, LaFrance
Henry Brodnax
B: 1960-08-11
D: 2018-11-26
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Brodnax, Henry
Delores Frey
B: 1928-03-30
D: 2018-11-16
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Frey, Delores
Raymond Oelking
B: 1945-12-11
D: 2018-11-16
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Oelking, Raymond
Naomi Beddingfield
B: 1921-11-08
D: 2018-11-09
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Beddingfield, Naomi
LaDonice Hill "Pug"
B: 1941-11-30
D: 2018-11-09
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Hill "Pug", LaDonice
Charles Kennedy
B: 1944-10-29
D: 2018-11-05
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Kennedy, Charles
Jenene Allred
B: 1941-04-17
D: 2018-11-02
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Allred, Jenene
Laura Hines
B: 1941-11-21
D: 2018-11-01
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Hines, Laura
Milton Parker
B: 1941-03-27
D: 2018-11-01
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Parker, Milton
Carol Dale
B: 1940-11-12
D: 2018-10-30
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Dale, Carol
Ted Duke
B: 1950-10-19
D: 2018-10-30
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Duke, Ted
Dorsey Savage
B: 1955-02-11
D: 2018-10-26
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Savage, Dorsey
Manjula Mehta
B: 1925-04-09
D: 2018-10-22
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Mehta, Manjula
Marilyn Vanacore
B: 1947-05-16
D: 2018-10-22
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Vanacore, Marilyn

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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:

Miscellaneous Notes and Instructions:

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