Obituaries

Berylyn Marie
B: 1952-09-10
D: 2024-05-24
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Marie, Berylyn
William Tidrick
B: 1999-07-22
D: 2024-05-20
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Tidrick, William
Imogene Haney
B: 1943-01-17
D: 2024-05-18
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Haney, Imogene
Brenda Blouin
B: 1947-06-17
D: 2024-05-08
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Blouin, Brenda
Adrienne Lane
B: 1941-10-02
D: 2024-05-03
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Lane, Adrienne
Cierra Kelley
B: 2005-02-11
D: 2024-05-02
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Kelley, Cierra
David Taylor
B: 1948-12-28
D: 2024-05-01
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Taylor, David
Janice Bond
B: 1938-04-13
D: 2024-04-29
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Bond, Janice
Wendy Bosarge
B: 1958-07-24
D: 2024-04-24
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Bosarge, Wendy
Sharon Clopton
B: 1948-03-10
D: 2024-04-23
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Clopton, Sharon
Glen Bosarge
B: 1964-01-03
D: 2024-04-23
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Bosarge, Glen
Geneva Parnell
B: 1939-11-05
D: 2024-04-18
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Parnell, Geneva
Keith Gentry
B: 1959-08-11
D: 2024-04-18
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Gentry, Keith
Russell Byrd
B: 1963-10-11
D: 2024-04-17
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Byrd, Russell
Alton Parker
B: 1940-11-22
D: 2024-04-17
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Parker, Alton
James Handlon
B: 1948-02-21
D: 2024-04-15
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Handlon, James
Martha Norris
B: 1939-01-24
D: 2024-04-14
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Norris, Martha
Gail Lawrence
B: 1957-08-26
D: 2024-04-04
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Lawrence, Gail
Margaret Beben
B: 1934-06-22
D: 2024-04-03
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Beben, Margaret
Cassie Dunn
B: 1983-06-01
D: 2024-04-01
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Dunn, Cassie
Henry Dutil
B: 1942-03-06
D: 2024-03-30
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Dutil, Henry

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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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