Obituaries

Charlotte Everett
B: 1965-06-20
D: 2019-05-07
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Everett, Charlotte
Erick Salas
B: 1987-07-16
D: 2019-04-02
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Salas, Erick
Marla Lloyd
B: 1960-09-27
D: 2019-03-26
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Lloyd, Marla
Melissa Peterson
B: 1972-01-07
D: 2019-03-20
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Peterson, Melissa
Raymond Chrisner
B: 1949-03-30
D: 2019-03-11
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Chrisner, Raymond
Lazaro Valencia-Angeles
B: 1971-12-17
D: 2019-03-03
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Valencia-Angeles, Lazaro
Terri Hobbie
B: 1973-07-24
D: 2019-02-27
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Hobbie, Terri
Jerome Cotton
B: 1940-07-21
D: 2019-02-24
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Cotton, Jerome
Brenda Berringer
B: 1952-02-19
D: 2019-02-22
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Berringer, Brenda
Alex Popoff
B: 1952-02-27
D: 2019-01-26
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Popoff, Alex
Danny Richardson
B: 1962-02-09
D: 2019-01-25
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Richardson, Danny
Robert Tanner
B: 1951-12-20
D: 2019-01-17
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Tanner, Robert
Hope Henslee
B: 1955-12-11
D: 2019-01-17
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Henslee, Hope
Alfredo Saldana, Jr.
B: 1976-11-08
D: 2019-01-13
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Saldana, Jr., Alfredo
Peggy Eutzy
B: 1940-04-06
D: 2019-01-12
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Eutzy, Peggy
Christine Hunt
B: 1951-10-16
D: 2018-12-27
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Hunt, Christine
Angel Deal
B: 2018-11-17
D: 2018-11-17
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Deal, Angel
Sheri Jackson
B: 1969-11-08
D: 2018-11-06
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Jackson, Sheri
Bradley Bruckner
B: 1951-08-27
D: 2018-11-05
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Bruckner, Bradley
Donald Hawkins
B: 1936-12-23
D: 2018-09-16
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Hawkins, Donald
Marie Jones
B: 1932-12-22
D: 2018-09-05
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Jones, Marie

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MEXIA, TX 76667
Phone: 254-562-6422
Fax: 254-562-6429

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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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