Obituaries

Bobbie Sheppard
B: 1937-09-17
D: 2017-09-19
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Sheppard, Bobbie
Randall Ross
B: 1964-02-12
D: 2017-09-19
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Ross, Randall
Gorman McDowell
B: 1943-08-18
D: 2017-09-17
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McDowell, Gorman
Nila Ebey
B: 1938-11-16
D: 2017-09-17
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Ebey, Nila
Nelwyn "Susie" Turner
B: 1959-12-18
D: 2017-09-13
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Turner, Nelwyn "Susie"
Terry Robinson
B: 1956-01-29
D: 2017-09-13
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Robinson, Terry
Steven Swan
B: 1953-01-12
D: 2017-09-11
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Swan, Steven
Charles Spillers
B: 1948-12-17
D: 2017-09-09
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Spillers, Charles
Robbi Crawford
B: 1977-02-22
D: 2017-09-09
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Crawford, Robbi
Gerald Huey
B: 1941-08-31
D: 2017-09-08
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Huey, Gerald
Ronny Lowery
B: 1953-07-11
D: 2017-09-04
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Lowery, Ronny
Beatrice Gryder
B: 1923-11-19
D: 2017-09-02
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Gryder, Beatrice
Jeremy Brown
B: 1974-02-27
D: 2017-08-31
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Brown, Jeremy
Geraldine McClurg
B: 1949-10-07
D: 2017-08-30
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McClurg, Geraldine
Leora Bruce
B: 1950-12-03
D: 2017-08-27
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Bruce, Leora
Bruce Futch
B: 1950-11-12
D: 2017-08-27
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Futch, Bruce
Janet Fisher
B: 1949-06-22
D: 2017-08-25
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Fisher, Janet
Janie Ledford
B: 1940-12-03
D: 2017-08-24
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Ledford, Janie
Herbert Crain
B: 1935-01-07
D: 2017-08-23
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Crain, Herbert
Johnny Pinckard
B: 1952-02-27
D: 2017-08-22
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Pinckard, Johnny
Willis Purvis
B: 1939-01-10
D: 2017-08-21
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Purvis, Willis

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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:

Miscellaneous Notes and Instructions:

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