Obituaries

Bettie Pettys
B: 1934-03-18
D: 2017-06-26
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Pettys, Bettie
Melissa Henry
B: 1947-01-06
D: 2017-06-25
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Henry, Melissa
Frances Harring
B: 1936-10-24
D: 2017-06-25
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Harring, Frances
Dena Woolweaver
B: 1970-11-19
D: 2017-06-21
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Woolweaver, Dena
Melanie Redden
B: 1966-11-18
D: 2017-06-21
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Redden, Melanie
Don Tharp
B: 1943-11-06
D: 2017-06-19
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Tharp, Don
Ronnie Tice
B: 1955-08-26
D: 2017-06-19
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Tice, Ronnie
Olivia Smith
B: 1921-04-29
D: 2017-06-18
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Smith, Olivia
Michael Taylor
B: 1944-09-30
D: 2017-06-17
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Taylor, Michael
James Patrick
B: 1926-02-08
D: 2017-06-15
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Patrick, James
Bobby Matney
B: 1940-01-24
D: 2017-06-15
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Matney, Bobby
Ronald Vestal
B: 1953-01-09
D: 2017-06-14
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Vestal, Ronald
Peterkin Berry
B: 1938-08-08
D: 2017-06-14
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Berry, Peterkin
S. Lanham
B: 1938-10-16
D: 2017-06-12
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Lanham, S.
Reier Stip
B: 1934-07-08
D: 2017-06-11
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Stip, Reier
Edith Miller
B: 1940-05-14
D: 2017-06-10
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Miller, Edith
Harriet Cutcheon
B: 1929-12-01
D: 2017-06-08
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Cutcheon, Harriet
Helen Terry
B: 1932-11-13
D: 2017-06-07
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Terry, Helen
Donald Amos
B: 1931-10-01
D: 2017-06-07
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Amos, Donald
Gregory Goetze
B: 1940-02-26
D: 2017-06-07
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Goetze, Gregory
William Feskowetz
B: 1939-06-11
D: 2017-06-06
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Feskowetz, William

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6919 Providence Road
Riverview, FL 33578
Phone: 813-677-9494
Fax: 813-677-7391

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Serenity Meadows Memorial Park Funeral Home & Crematory, please notify us first by phone at 813-677-9494.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
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/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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