Obituaries

Sara Scheele
B: 1945-01-08
D: 2018-05-11
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Scheele, Sara
Howard William Townsend
B: 1930-04-27
D: 2018-05-11
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Townsend, Howard William
Krystyna Tarnowska
B: 1941-08-01
D: 2018-05-08
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Tarnowska, Krystyna
Martha Buck
B: 1932-07-21
D: 2018-05-03
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Buck, Martha
Mittie Bunker
B: 1937-01-14
D: 2018-05-02
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Bunker, Mittie
James Zenk
B: 1918-02-18
D: 2018-05-02
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Zenk, James
Glenda Adams
B: 1942-09-10
D: 2018-04-30
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Adams, Glenda
Ann Tarantino
D: 2018-04-29
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Tarantino, Ann
Fay Jahnke
B: 1918-03-24
D: 2018-04-28
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Jahnke, Fay
Charles Pace
B: 1928-10-30
D: 2018-04-24
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Pace, Charles
Gloria Martinez Villarreal
B: 1930-11-08
D: 2018-04-24
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Villarreal, Gloria Martinez
Mrs. Johnnie Mae Rutledge Ford
B: 1940-01-07
D: 2018-04-23
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Ford, Mrs. Johnnie Mae Rutledge
Juanita Pillion
B: 1926-01-07
D: 2018-04-22
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Pillion, Juanita
Charlie Krzesienski
B: 1918-08-06
D: 2018-04-21
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Krzesienski, Charlie
Irma Abrahams
B: 1927-03-01
D: 2018-04-19
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Abrahams, Irma
Rev. Hugh Parsons
B: 1934-05-17
D: 2018-04-18
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Parsons, Rev. Hugh
Richard McCauley
B: 1945-01-24
D: 2018-04-13
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McCauley, Richard
Alice Sanchez
B: 1934-06-14
D: 2018-04-13
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Sanchez, Alice
Mary Lurie
B: 1927-04-10
D: 2018-04-11
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Lurie, Mary
Mark Seegers
B: 1958-04-04
D: 2018-04-06
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Seegers, Mark
Joshua Glenn Molina
B: 1999-01-12
D: 2018-03-31
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Molina, Joshua Glenn

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1101 Antoine Drive
Houston, TX 77055
Phone: 713.682.3663
Fax: 713.682.3899

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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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