Obituaries

George Tanner
B: 1958-09-29
D: 2017-03-24
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Tanner, George
Mary Roach
B: 1922-06-30
D: 2017-03-17
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Roach, Mary
Cecil Johnson
B: 1956-06-04
D: 2017-03-22
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Johnson, Cecil
Jimmie Dall
B: 1935-06-17
D: 2017-03-23
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Dall, Jimmie
George Smith
B: 1929-11-13
D: 2017-03-21
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Smith, George
Ed Hicks
B: 1951-10-23
D: 2017-03-19
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Hicks, Ed
Pamela Keller Cox
B: 1958-09-26
D: 2017-03-14
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Keller Cox, Pamela
Marvin Grimes
B: 1924-01-08
D: 2017-03-20
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Grimes, Marvin
Maj. David Williams
B: 1973-02-26
D: 2017-03-12
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Williams, Maj. David
Constance O'Rourke
B: 1927-08-18
D: 2017-03-18
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O'Rourke, Constance
Virginia Hale
B: 1934-10-01
D: 2017-03-15
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Hale, Virginia
Eugene Martin
B: 1948-12-23
D: 2017-03-14
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Martin, Eugene
Willie Hendricks
B: 1929-10-22
D: 2017-03-14
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Hendricks, Willie
Mattie Reeves
B: 1926-01-05
D: 2017-03-06
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Reeves, Mattie
Bernarda Flores
B: 1945-11-21
D: 2017-03-09
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Flores, Bernarda
Morris Hemby
B: 1952-03-31
D: 2017-03-11
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Hemby, Morris
Melinda Moore
B: 1964-12-17
D: 2017-03-09
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Moore, Melinda
James Norris
B: 1951-12-03
D: 2017-03-10
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Norris, James
K. Dwayne McGaughey
B: 1935-04-28
D: 2017-03-11
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McGaughey, K. Dwayne
Thomas "T-Tom" Davidson
B: 1933-01-08
D: 2017-03-09
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Davidson, Thomas "T-Tom"
Laura Mancuso
B: 1945-07-27
D: 2017-02-03
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Mancuso, Laura

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2602 South Houston Avenue
Humble, TX 77396
Phone: 281-441-2171
Fax: 281-441-1445

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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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