Obituaries

Walter Pfister
B: 1927-05-26
D: 2017-11-24
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Pfister, Walter
Sherry Hale
B: 1962-12-12
D: 2017-11-21
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Hale, Sherry
Gloria Dispenza
B: 1944-08-19
D: 2017-11-18
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Dispenza, Gloria
Neta Chapman
B: 1939-06-13
D: 2017-11-18
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Chapman, Neta
Jo Cotton
B: 1952-05-26
D: 2017-11-14
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Cotton, Jo
Carolyn Volentine
B: 1945-12-01
D: 2017-11-13
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Volentine, Carolyn
Irma Bush
B: 1943-03-23
D: 2017-11-10
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Bush, Irma
Zebulon Wiley
B: 1963-10-04
D: 2017-11-09
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Wiley, Zebulon
Mark Murphy
B: 1971-11-30
D: 2017-11-07
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Murphy, Mark
Dallas Minger
B: 2017-11-05
D: 2017-11-06
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Minger, Dallas
Duane Emken
B: 1933-12-05
D: 2017-11-05
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Emken, Duane
Dustin Jenkins
B: 1995-07-05
D: 2017-11-04
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Jenkins, Dustin
T. R. RAY
B: 1945-10-15
D: 2017-11-02
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RAY, T. R.
Jack Phillips
B: 1926-11-09
D: 2017-11-02
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Phillips, Jack
Annie West
B: 1932-12-15
D: 2017-11-01
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West , Annie
Janice Cockerham
B: 1949-05-04
D: 2017-10-28
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Cockerham, Janice
Charles Jones
B: 1947-11-30
D: 2017-10-27
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Jones, Charles
Jack Holder
B: 1920-10-20
D: 2017-10-25
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Holder, Jack
Bobbie Harper
B: 1939-10-01
D: 2017-10-23
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Harper, Bobbie
Marilyn Horton
B: 1932-12-23
D: 2017-10-23
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Horton, Marilyn
Kenneth Killian
B: 1942-09-20
D: 2017-10-22
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Killian, Kenneth

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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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