Obituaries

Gomer Clark
B: 1934-05-30
D: 2018-02-23
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Clark, Gomer
Anthony Crowden
B: 1970-09-22
D: 2018-02-22
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Crowden, Anthony
Tanner Cowart
B: 2017-06-28
D: 2018-02-21
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Cowart, Tanner
Burness Franklin
B: 1937-12-02
D: 2018-02-20
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Franklin, Burness
Edward Evans
B: 1943-07-11
D: 2018-02-17
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Evans, Edward
Dewey Frey
B: 1926-08-14
D: 2018-02-17
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Frey, Dewey
Stella Marcum
B: 1933-12-03
D: 2018-02-15
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Marcum, Stella
Jeffery Holland
B: 1963-12-26
D: 2018-02-10
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Holland, Jeffery
Joseph Trebotich
B: 1956-02-21
D: 2018-02-10
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Trebotich, Joseph
David Van Buren
B: 1954-09-03
D: 2018-02-09
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Van Buren, David
Joe Gammage
B: 1955-12-13
D: 2018-02-09
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Gammage, Joe
Larry Bowers
B: 1948-12-15
D: 2018-02-06
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Bowers, Larry
Roger Sheldon
B: 1947-09-10
D: 2018-02-05
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Sheldon, Roger
James Patterson
B: 1930-09-03
D: 2018-02-04
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Patterson, James
Velva Hazel
B: 1944-10-17
D: 2018-02-03
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Hazel, Velva
Audry Depasquale
B: 1956-11-30
D: 2018-01-31
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Depasquale, Audry
Gail Byrd
B: 1951-04-01
D: 2018-01-30
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Byrd, Gail
Thomas Burk
B: 1965-04-01
D: 2018-01-30
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Burk, Thomas
Wanda Darby
B: 1957-06-01
D: 2018-01-30
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Darby, Wanda
Betty Davis
B: 1935-01-26
D: 2018-01-26
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Davis, Betty
Kerry Carter
B: 1966-08-14
D: 2018-01-21
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Carter, Kerry

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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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