Obituaries

Gloria Dupre
B: 1939-12-13
D: 2018-05-16
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Dupre, Gloria
Thomas Abbott
B: 1943-01-12
D: 2018-05-16
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Abbott, Thomas
Andrus Guidry
B: 1931-06-04
D: 2018-05-14
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Guidry, Andrus
Charles Dugas
B: 1925-08-14
D: 2018-05-13
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Dugas, Charles
Andrew Gonzales
B: 1940-08-25
D: 2018-05-07
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Gonzales, Andrew
Tilman Babineaux
B: 1972-05-23
D: 2018-05-07
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Babineaux, Tilman
Everly Mounier
B: 2018-01-22
D: 2018-05-04
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Mounier, Everly
Bradford Bazile
B: 1961-03-22
D: 2018-05-03
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Bazile, Bradford
Delton Perrodin
B: 1930-12-06
D: 2018-04-30
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Perrodin, Delton
Dallas Hebert
B: 1936-10-02
D: 2018-04-30
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Hebert, Dallas
Kenneth Mouton
B: 1960-09-20
D: 2018-04-28
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Mouton, Kenneth
Jennifer Knippers
B: 1973-07-28
D: 2018-04-28
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Knippers, Jennifer
Leanna Thibodeaux
B: 1969-11-04
D: 2018-04-26
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Thibodeaux, Leanna
Laurice Hulin
B: 1944-12-19
D: 2018-04-26
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Hulin, Laurice
Jerry Guidry
B: 1957-01-16
D: 2018-04-24
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Guidry, Jerry
Tommy Guillory
B: 1964-11-12
D: 2018-04-24
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Guillory, Tommy
Deanna Guidry
B: 1935-03-23
D: 2018-04-23
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Guidry, Deanna
Debra Daigle
B: 1956-09-17
D: 2018-04-21
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Daigle, Debra
Kayden Lee
B: 2018-02-03
D: 2018-04-20
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Lee, Kayden
Gloria Welch
B: 1950-10-14
D: 2018-04-18
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Welch, Gloria
Shirley Sarver
B: 1935-09-18
D: 2018-04-16
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Sarver, Shirley

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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:
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:
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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:
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

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Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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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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