Obituaries

Karen Crick Blake
B: 1955-04-14
D: 2018-07-11
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Blake, Karen Crick
Melvin Thatcher
B: 1933-01-09
D: 2018-07-06
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Thatcher, Melvin
Delores Rohr
B: 1963-01-04
D: 2018-07-04
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Rohr, Delores
Patricia Garcia
B: 1984-11-16
D: 2018-07-03
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Garcia, Patricia
Betty Jean Woods Heathcott
B: 1951-12-11
D: 2018-07-02
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Heathcott, Betty Jean Woods
Barbara Welsh
B: 1935-08-23
D: 2018-07-01
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Welsh, Barbara
Daryl and Milly Frederick
B: 1937-10-21
D: 2018-06-28
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Frederick, Daryl and Milly
Daphne Tompkins
B: 1932-03-07
D: 2018-06-28
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Tompkins, Daphne
Rosemary Abbate
B: 1921-11-07
D: 2018-06-28
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Abbate, Rosemary
Brian Robertson
B: 1977-07-07
D: 2018-06-27
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Robertson, Brian
Darrell Dean
B: 1936-08-29
D: 2018-06-21
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Dean, Darrell
Patricia "Penn" Garcia
B: 1952-01-08
D: 2018-06-21
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Garcia, Patricia "Penn"
George Groschke
B: 1936-11-01
D: 2018-06-19
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Groschke, George
George David Blake
B: 1941-12-20
D: 2018-06-17
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Blake, George David
Dagmar Ricketts
B: 1934-04-09
D: 2018-06-17
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Ricketts, Dagmar
Bonita Jean Duquesnay
B: 1925-12-22
D: 2018-06-15
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Duquesnay, Bonita Jean
Theresa Tilotta
B: 1960-04-25
D: 2018-06-13
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Tilotta, Theresa
Kenneth Wallman
B: 1931-02-24
D: 2018-06-10
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Wallman, Kenneth
Catherine Kiker
B: 1941-08-06
D: 2018-06-10
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Kiker, Catherine
Lola Warren
B: 1944-04-27
D: 2018-06-05
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Warren, Lola
Elvia Rodriguez
B: 1930-07-17
D: 2018-06-03
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Rodriguez, Elvia

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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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