Obituaries

Joyce Faul
B: 1930-12-05
D: 2017-11-18
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Faul, Joyce
Ricky Guillot
B: 1985-03-16
D: 2017-11-17
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Guillot, Ricky
John Perrodin
B: 1942-01-17
D: 2017-11-14
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Perrodin, John
Marie Boudreaux
B: 1937-02-27
D: 2017-11-14
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Boudreaux, Marie
Rosa Richard
B: 1942-08-21
D: 2017-11-12
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Richard, Rosa
Maudrey Guthrie
B: 1929-03-23
D: 2017-11-09
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Guthrie, Maudrey
Hazel Leger
B: 1926-12-28
D: 2017-11-08
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Leger, Hazel
Patricia Trahan
B: 1950-04-12
D: 2017-11-07
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Trahan, Patricia
Joseph Pierre-August
B: 1949-04-21
D: 2017-11-05
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Pierre-August, Joseph
Stasia Hebert
B: 1948-11-17
D: 2017-11-05
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Hebert, Stasia
Zulma Baker
B: 1928-11-23
D: 2017-10-21
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Baker, Zulma
Joyce Thompson
B: 1943-09-13
D: 2017-10-21
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Thompson, Joyce
Violet Harrington
B: 1918-07-25
D: 2017-10-19
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Harrington, Violet
Murphy LeBlanc
B: 1947-10-26
D: 2017-10-17
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LeBlanc, Murphy
Ray Briscoe
B: 1943-07-02
D: 2017-10-17
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Briscoe, Ray
Richard Smith
B: 1947-08-26
D: 2017-10-14
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Smith, Richard
Aaron Richard
B: 1944-02-09
D: 2017-10-08
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Richard, Aaron
Verna Denais
B: 1938-04-25
D: 2017-10-07
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Denais, Verna
Joey Fox
B: 1958-07-31
D: 2017-10-07
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Fox, Joey
Linda Kibodeaux
B: 1957-10-22
D: 2017-10-01
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Kibodeaux, Linda
Hilda Leger
B: 1932-07-14
D: 2017-09-30
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Leger, Hilda

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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:
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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