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Obituary Form

Name:

Occupation and Time:

Date & Time of Death:

Age:

Native of:

Resident of:

Education:

Past Employment & Titles:

Organizational Afflictions: Give Full names, Fraternal, Clubs, Church, Office held:

Veteran: Branch & Length of Service:

Rank:

Commendations:

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Information of individual filling out the form:

Name:

Phone Number

Email:

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Survivors:

Spouse:

Children:

Father:

Mother:

Sisters:

Brothers:

Mother in Law:

Father in Law:

Brother in Law:

Sister in Law:

Daughter in Law:

Son in Law:

Aunts:

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Any Additional Family Members:

Proceeded in Death by:

Number of Grandchildren:

Number of Great Grand Children:

Number of Great Great Grand Children:

Funeral Services or Mass:

Date:

Time:

Place Address:

Cemetery:

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Gretna

230 Monroe St.

Gretna, LA 70053

P. (504) 361-8649

F. (504) 368-0217

Marrero

6820 Westbank Expy

Marrero, LA 70072

P. (504) 348-1896

F. (504) 368-0217

Woodlawn Park Memorial Cemetery

9820 Nine Milepoint W.

Westwego, LA 70094

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Obituary Form

Obituary Form

About Us

Obituaries

Services

Planning Ahead

Grief Support

Resources

A Year of Grief Support

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