Obituaries

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
Varnell Grissom
B: 1929-02-18
D: 2017-04-20
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Grissom, Varnell
Matthew Romano
B: 1931-10-01
D: 2017-04-20
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Romano, Matthew
Uella Avery
B: 1926-07-26
D: 2017-04-20
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Avery, Uella
Amber Sanford Scott
B: 1979-07-16
D: 2017-04-19
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Sanford Scott , Amber
Betty Stewart
B: 1937-08-02
D: 2017-04-16
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Stewart, Betty
Tyson Compton
B: 1917-01-24
D: 2017-04-15
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Compton, Tyson
William Valentine
B: 1933-09-18
D: 2017-04-15
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Valentine, William
William McDanell
B: 1946-12-31
D: 2017-04-13
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McDanell, William
Satcher Reynaud
D: 2017-04-13
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Reynaud, Satcher
Robert Hauerwas
B: 1938-05-02
D: 2017-04-12
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Hauerwas, Robert
Rita Gordon
B: 1947-11-03
D: 2017-04-11
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Gordon, Rita
Ronald Aitken
B: 1954-04-16
D: 2017-04-10
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Aitken, Ronald
Charlotte Thornton
D: 2017-04-08
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Thornton, Charlotte
Mary Chapman
D: 2017-04-07
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Chapman, Mary
James Watson
B: 1954-12-27
D: 2017-04-06
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Watson, James
Thomas Allen
B: 1973-09-16
D: 2017-04-05
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Allen, Thomas

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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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