Obituaries

Dorothy Saul
B: 1931-06-10
D: 2019-08-16
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Saul, Dorothy
Lilli Schinn
B: 1936-06-30
D: 2019-08-14
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Schinn, Lilli
Betty Pagliai
B: 1930-11-05
D: 2019-08-09
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Pagliai, Betty
Jean Randlett
B: 1939-02-28
D: 2019-08-08
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Randlett, Jean
Irvin Coblentz
B: 1942-03-26
D: 2019-08-06
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Coblentz, Irvin
Gary Green
B: 1949-03-17
D: 2019-08-03
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Green, Gary
John Holder
B: 1943-02-13
D: 2019-08-02
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Holder, John
Melton Bolen
B: 1950-11-08
D: 2019-08-01
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Bolen, Melton
Brenda Broadus
B: 1949-07-01
D: 2019-07-30
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Broadus, Brenda
Clarence Jordan
B: 1947-02-13
D: 2019-07-29
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Jordan, Clarence
Skylor Barksdale
B: 2003-01-15
D: 2019-07-29
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Barksdale, Skylor
Angela Penfield
B: 1963-04-24
D: 2019-07-26
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Penfield, Angela
Steven McDaniel Jr.
B: 1972-07-08
D: 2019-07-26
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McDaniel Jr., Steven
Janet Goff
B: 1967-05-17
D: 2019-07-23
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Goff, Janet
Patricia Thompson
B: 1946-11-12
D: 2019-07-22
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Thompson, Patricia
Clark Burrows
B: 1954-01-09
D: 2019-07-19
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Burrows, Clark
Erica Smith
B: 1980-07-09
D: 2019-07-12
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Smith, Erica
Judy Johnson
B: 1946-11-25
D: 2019-06-28
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Johnson, Judy
Mariann Cameron
B: 1962-09-02
D: 2019-06-27
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Cameron, Mariann
Douglas Clarke
B: 1928-12-30
D: 2019-06-23
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Clarke, Douglas
Kenneth Wilson
B: 1954-11-21
D: 2019-06-23
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Wilson, Kenneth

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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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