Obituaries

Gary Hudson
B: 1952-11-20
D: 2018-07-14
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Hudson, Gary
Glenn Broadus
B: 1957-09-24
D: 2018-07-09
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Broadus, Glenn
Jeffrey Reisch
B: 1943-08-21
D: 2018-07-04
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Reisch, Jeffrey
Anna Bond
B: 1921-10-05
D: 2018-07-03
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Bond, Anna
Max Taylor
B: 1996-01-18
D: 2018-06-28
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Taylor, Max
Billy Heldt
B: 1951-04-13
D: 2018-06-27
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Heldt, Billy
Linda Bussell
B: 1945-02-28
D: 2018-06-25
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Bussell, Linda
Henry Johnson
B: 1925-08-18
D: 2018-06-23
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Johnson, Henry
Donald Gibson
B: 1960-03-03
D: 2018-06-18
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Gibson, Donald
Abram Price
B: 2018-06-14
D: 2018-06-14
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Price, Abram
John Eng
B: 1952-04-04
D: 2018-06-12
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Eng, John
Kyle Barnette
B: 1955-11-30
D: 2018-06-08
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Barnette, Kyle
Clomare "Clay" Saujon
B: 1947-06-27
D: 2018-06-07
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Saujon, Clomare "Clay"
Laura Emery
B: 1946-11-03
D: 2018-06-05
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Emery, Laura
Karen Falls
B: 1945-03-16
D: 2018-06-04
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Falls, Karen
Billie Mills
B: 1939-07-04
D: 2018-06-03
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Mills, Billie
Colin Bunting
B: 1959-07-15
D: 2018-06-03
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Bunting, Colin
Mark Sumrall
B: 1964-06-03
D: 2018-05-28
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Sumrall, Mark
Audrey Lestrade
B: 1934-08-04
D: 2018-05-24
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Lestrade, Audrey
Lillian Parker
B: 1925-02-09
D: 2018-05-24
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Parker, Lillian
W. T. Martin
B: 1986-08-19
D: 2018-05-24
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Martin, W. T.

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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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