Obituaries

Ina Clarke
B: 1923-04-15
D: 2018-09-19
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Clarke, Ina
Marilyn Deberry
B: 1926-06-11
D: 2018-09-18
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Deberry, Marilyn
James Fountain
B: 1942-10-26
D: 2018-09-16
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Fountain, James
Selena Thomas
B: 1953-05-12
D: 2018-09-13
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Thomas, Selena
Judy Weissrock
B: 1950-12-15
D: 2018-09-11
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Weissrock, Judy
Elwood Fergonise
B: 1941-09-15
D: 2018-09-09
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Fergonise, Elwood
Stephen Mathis
B: 1955-09-21
D: 2018-09-09
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Mathis, Stephen
Clifford Cartwright
B: 1947-04-19
D: 2018-09-08
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Cartwright, Clifford
John Nutefall
B: 1944-01-17
D: 2018-09-07
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Nutefall, John
Norvin Riette
B: 1937-09-05
D: 2018-09-04
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Riette, Norvin
Melvin Quitt
B: 1937-02-27
D: 2018-09-04
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Quitt, Melvin
Lois Dawson
B: 1946-09-23
D: 2018-08-31
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Dawson, Lois
Brandy DeBusk
B: 1980-11-28
D: 2018-08-31
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DeBusk, Brandy
Mary Fagan
B: 1934-01-19
D: 2018-08-26
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Fagan, Mary
Laurie Emmons
B: 1961-11-09
D: 2018-08-26
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Emmons, Laurie
Linda Warden
B: 1959-08-14
D: 2018-08-24
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Warden, Linda
Tyree Jimerson
B: 1961-01-12
D: 2018-08-24
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Jimerson, Tyree
Voncey Moran
B: 1941-12-09
D: 2018-08-20
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Moran, Voncey
Jonathan Genna
B: 1945-12-25
D: 2018-08-15
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Genna, Jonathan
Brian West
B: 1966-03-30
D: 2018-08-13
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West, Brian
Richard Skipper
B: 1957-02-20
D: 2018-08-09
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Skipper, Richard

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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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