Obituaries

Michael Lepoma
B: 1969-04-15
D: 2020-05-25
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Lepoma, Michael
LeAnn Real
B: 1965-10-05
D: 2020-05-23
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Real, LeAnn
Timothy Balog
B: 1958-01-31
D: 2020-05-18
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Balog, Timothy
Leigh Nettles
B: 1963-12-04
D: 2020-05-13
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Nettles, Leigh
Villere Seymour
B: 1926-05-29
D: 2020-05-08
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Seymour, Villere
Helen Defosse
B: 1937-08-23
D: 2020-05-01
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Defosse, Helen
Judith Anderson
B: 1956-05-05
D: 2020-04-29
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Anderson, Judith
Edna Hyatt
B: 1965-12-25
D: 2020-04-26
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Hyatt, Edna
Joann Hosli
B: 1942-10-15
D: 2020-04-26
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Hosli, Joann
Dennis Johnson
B: 1945-03-17
D: 2020-04-19
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Johnson, Dennis
Judith Dartez
B: 1946-03-18
D: 2020-04-16
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Dartez, Judith
Norma Holbrook
B: 1948-03-20
D: 2020-04-11
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Holbrook, Norma
Richard Coll
B: 1937-06-11
D: 2020-04-05
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Coll, Richard
William Barton
B: 1955-12-19
D: 2020-03-31
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Barton, William
Larry Higginbotham
B: 1940-08-02
D: 2020-03-28
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Higginbotham, Larry
Richard Sandefer
B: 1946-07-14
D: 2020-03-27
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Sandefer, Richard
Charles Wilmoth
B: 1937-12-11
D: 2020-03-24
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Wilmoth, Charles
Bryan Schroeder
B: 1959-09-08
D: 2020-03-17
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Schroeder, Bryan
Garry Percival
B: 1939-04-23
D: 2020-03-14
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Percival, Garry
Rolf Eisenmann
B: 1938-04-23
D: 2020-03-11
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Eisenmann, Rolf
Barbara Jones
B: 1923-08-09
D: 2020-03-08
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Jones, Barbara

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Ocean Springs, MS 39564
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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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