Obituaries

Linton Brooks
B: 1945-06-12
D: 2018-01-19
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Brooks, Linton
Tom Briscoe
B: 1940-09-03
D: 2018-01-16
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Briscoe, Tom
Junice Menard
B: 1961-05-29
D: 2018-01-14
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Menard, Junice
Dorothy Suire
B: 1950-05-12
D: 2018-01-13
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Suire, Dorothy
John Richard
B: 1961-02-09
D: 2018-01-13
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Richard, John
Ralph Breaux
B: 1947-09-17
D: 2018-01-12
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Breaux, Ralph
Larry Thibodeaux
B: 1952-05-21
D: 2018-01-11
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Thibodeaux, Larry
Jean Berthelot
B: 1945-10-21
D: 2018-01-09
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Berthelot, Jean
Iris Marie Venable
B: 1942-09-05
D: 2018-01-08
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Venable, Iris Marie
Berton Guilbeaux
B: 1927-12-20
D: 2018-01-08
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Guilbeaux, Berton
Jules Prejean
B: 1932-03-04
D: 2018-01-06
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Prejean, Jules
CLotis Pormier
B: 1924-03-22
D: 2018-01-03
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Pormier, CLotis
Norris Cormier
B: 1932-09-18
D: 2018-01-02
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Cormier, Norris
Raywood Lejeune
B: 1955-08-02
D: 2018-01-01
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Lejeune, Raywood
Beverly Guidry
B: 1934-11-27
D: 2017-12-30
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Guidry, Beverly
Mitchell Faulk
B: 1923-09-12
D: 2017-12-29
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Faulk, Mitchell
Wilton Guidry
D: 2017-12-29
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Guidry, Wilton
Daniel Mouton
D: 2017-12-29
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Mouton, Daniel
Elisee Menard,Jr.
B: 1948-02-06
D: 2017-12-29
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Menard,Jr., Elisee
Betty Duhon
B: 1969-02-01
D: 2017-12-28
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Duhon, Betty
Mildred Falcon
B: 1929-10-14
D: 2017-12-24
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Falcon, Mildred

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701 S. Broadway
P O Box 320
Church Point, LA 70525
Phone: 337-684-5552
Fax: 337-684-3338

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
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Zip Code:
Telephone Number: (xxx-xxx-xxxx)
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Date of Birth: (month/day/year)
City of Birth:
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Highest Education Level:
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Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
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Mother's Name:
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Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
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Jewelry:
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Outer Container Preference: (for ground burial)
Cemetery Name:
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The cemetery property is in the name of:

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