Obituaries

Marjorie Goad
B: 1959-12-31
D: 2019-05-22
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Goad, Marjorie
Penny Clark
B: 1974-04-18
D: 2019-05-21
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Clark, Penny
Jeffery Elkins
B: 1968-12-25
D: 2019-05-16
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Elkins, Jeffery
Darla Morris
B: 1956-09-16
D: 2019-05-15
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Morris, Darla
Frank D'Angelo
B: 1966-09-17
D: 2019-05-12
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D'Angelo, Frank
Michael McCloskey
B: 1979-11-11
D: 2019-04-26
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McCloskey, Michael
Donald Daugherty
B: 1947-06-27
D: 2019-04-26
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Daugherty, Donald
Robert Lowe
B: 1946-09-20
D: 2019-04-24
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Lowe, Robert
Mary Brossett
B: 1962-10-11
D: 2019-04-13
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Brossett, Mary
Joe Davis
B: 1938-01-02
D: 2019-04-11
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Davis, Joe
Deborah Fountain
B: 1953-05-20
D: 2019-04-08
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Fountain, Deborah
Carroll Cossich
B: 1963-05-16
D: 2019-04-05
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Cossich, Carroll
Clarence Brunty
B: 1932-02-08
D: 2019-04-01
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Brunty, Clarence
Marjorie White
B: 1932-06-23
D: 2019-03-26
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White, Marjorie
Roy Lumpkin
B: 1945-01-12
D: 2019-03-25
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Lumpkin, Roy
Mary Brooks
B: 1927-03-31
D: 2019-03-24
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Brooks, Mary
Sheryl Leopard
B: 1957-07-23
D: 2019-03-17
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Leopard, Sheryl
Elsie Switzer
B: 1932-08-19
D: 2019-03-16
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Switzer, Elsie
Scott Entrekin
B: 1973-07-23
D: 2019-03-15
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Entrekin, Scott
James White
B: 1951-08-05
D: 2019-03-06
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White, James
Kevin Caro
B: 1967-07-13
D: 2019-03-06
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Caro, Kevin

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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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