Obituaries

Betty Wheeler
B: 1933-07-02
D: 2023-09-23
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Wheeler, Betty
Marc Lerch
B: 1952-10-30
D: 2023-09-23
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Lerch, Marc
Angela Hill
B: 1968-12-10
D: 2023-09-22
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Hill, Angela
Jayrell Cox
B: 2005-01-16
D: 2023-09-21
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Cox, Jayrell
Nancy Lewis
B: 1945-12-14
D: 2023-09-20
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Lewis, Nancy
Timothy King
B: 1952-05-16
D: 2023-09-20
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King, Timothy
Robin Eyman
B: 1955-09-20
D: 2023-09-15
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Eyman, Robin
Robert Webb
B: 1954-10-11
D: 2023-09-15
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Webb, Robert
Lillie Holder
B: 1954-01-09
D: 2023-09-14
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Holder, Lillie
Antone Kornman
B: 1940-04-06
D: 2023-09-13
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Kornman, Antone
Le Nguyen
B: 1935-02-02
D: 2023-09-12
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Nguyen, Le
Mary Savoy
B: 1938-06-01
D: 2023-09-08
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Savoy, Mary
Michael Spiwak
B: 1956-09-01
D: 2023-09-07
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Spiwak, Michael
Ernest Talbott
B: 1942-06-06
D: 2023-09-01
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Talbott, Ernest
Charles Goff
B: 1943-07-10
D: 2023-08-26
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Goff, Charles
Nhieu Le
B: 1970-02-02
D: 2023-08-19
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Le, Nhieu
Patricia Napier
B: 1939-03-07
D: 2023-08-17
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Napier, Patricia
Bobby Montgomery
B: 1943-09-13
D: 2023-08-16
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Montgomery, Bobby
Kevin Hodges
B: 1984-09-14
D: 2023-08-16
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Hodges, Kevin
Owen Howe
B: 2021-06-07
D: 2023-08-15
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Howe, Owen
Jerry Fayard
B: 1957-02-13
D: 2023-08-13
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Fayard, Jerry

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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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