Obituaries

Cora Floyd
B: 1956-05-18
D: 2017-05-18
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Floyd, Cora
Thomas Trichel
B: 1936-07-03
D: 2017-05-17
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Trichel, Thomas
Jessie Allin
B: 1984-08-13
D: 2017-05-14
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Allin, Jessie
Billy "Bill" Austin
B: 1931-03-21
D: 2017-05-12
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Austin, Billy "Bill"
Albert Neal
D: 2017-05-12
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Neal, Albert
John Burkett
B: 1946-08-11
D: 2017-05-11
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Burkett, John
Juanita Thompson
B: 1944-11-21
D: 2017-05-11
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Thompson, Juanita
Scott Green
B: 1964-08-02
D: 2017-05-10
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Green, Scott
Johnnie Oxner
B: 1938-04-04
D: 2017-05-07
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Oxner, Johnnie
Edward Allen
B: 1997-04-02
D: 2017-05-04
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Allen, Edward
William Miles
B: 1961-09-20
D: 2017-05-01
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Miles, William
Lucy Walker
B: 1937-10-21
D: 2017-04-30
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Walker, Lucy
Ann Stennett
B: 1922-01-30
D: 2017-04-29
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Stennett, Ann
Karen Knight
B: 1958-08-29
D: 2017-04-29
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Knight, Karen
Kelly Worthington
B: 1978-01-27
D: 2017-04-29
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Worthington, Kelly
Carolyn Perdue
B: 1961-12-28
D: 2017-04-27
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Perdue, Carolyn
James Ridings
B: 1941-09-03
D: 2017-04-26
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Ridings, James
Lester Langley
B: 1943-05-02
D: 2017-04-24
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Langley, Lester
Tony McGough
B: 1942-11-19
D: 2017-04-24
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McGough, Tony
Thomas McKaskle
B: 1956-12-07
D: 2017-04-23
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McKaskle, Thomas
Billye Graham
B: 1938-09-29
D: 2017-04-22
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Graham, Billye

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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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