Obituaries

Clarence Clark
B: 1950-04-27
D: 2018-05-24
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Clark, Clarence
Carolynn Hiett
B: 1942-10-19
D: 2018-05-21
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Hiett, Carolynn
Mary Varner
B: 1938-09-26
D: 2018-05-20
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Varner, Mary
Robert Walker
B: 1957-12-02
D: 2018-05-18
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Walker, Robert
Casey Carr
B: 1930-03-16
D: 2018-05-18
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Carr, Casey
Juan Martinez
B: 2018-05-17
D: 2018-05-17
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Martinez, Juan
Betty Hart
B: 1933-09-21
D: 2018-05-16
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Hart, Betty
Brad Dyer
B: 1975-04-02
D: 2018-05-16
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Dyer, Brad
Kitty Foster
B: 1957-03-05
D: 2018-05-14
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Foster, Kitty
Bobby Chapman
B: 1936-07-13
D: 2018-05-13
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Chapman, Bobby
Ursula Upshaw
B: 1936-07-10
D: 2018-05-13
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Upshaw, Ursula
James Webb
B: 1934-05-04
D: 2018-05-11
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Webb, James
Nazera Bozon
B: 1965-08-30
D: 2018-05-08
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Bozon, Nazera
Todd Werner
D: 2018-05-08
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Werner, Todd
Willie Cook
B: 1945-10-16
D: 2018-05-07
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Cook, Willie
Aubrey Richey
B: 1934-11-19
D: 2018-05-06
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Richey, Aubrey
Virgie McNease
B: 1934-08-24
D: 2018-05-03
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McNease, Virgie
Kay Bickle
B: 1936-11-17
D: 2018-05-02
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Bickle, Kay
Lane Hemphill
B: 1950-11-24
D: 2018-04-30
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Hemphill, Lane
Albert Gentile
B: 1934-11-19
D: 2018-04-29
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Gentile, Albert
Carolyn Lightsey
B: 1946-04-17
D: 2018-04-29
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Lightsey, Carolyn

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7427 Cypress Street
P.O. Box 1515
West Monroe, LA 71291
Phone: (318) 396-3191
Fax: (318) 396-3135

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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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