Obituaries

Perry Portee
B: 1942-04-07
D: 2017-10-19
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Portee, Perry
John Steele
B: 1959-05-11
D: 2017-10-19
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Steele, John
Kenneth Haas
B: 1940-06-01
D: 2017-10-18
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Haas, Kenneth
Mary Lemar
B: 1950-03-17
D: 2017-10-17
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Lemar, Mary
Terrell Wiggins
B: 1927-11-11
D: 2017-10-16
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Wiggins, Terrell
Keith Ewers
B: 1932-10-02
D: 2017-10-15
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Ewers, Keith
William DiBurro
B: 1941-01-17
D: 2017-10-11
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DiBurro, William
Richard Remenih
B: 1942-07-07
D: 2017-10-10
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Remenih, Richard
David Demery
B: 1970-06-28
D: 2017-10-06
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Demery, David
Jackie Hamner
B: 1947-11-08
D: 2017-10-04
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Hamner, Jackie
James Dunlap
B: 1974-07-30
D: 2017-10-04
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Dunlap, James
Minnie Campbell
B: 1933-04-13
D: 2017-10-04
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Campbell, Minnie
Roy Pringle
B: 1931-07-06
D: 2017-10-02
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Pringle, Roy
David Witt
B: 1988-05-31
D: 2017-09-29
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Witt, David
Walter Brown
B: 1930-09-15
D: 2017-09-29
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Brown, Walter
Brian Wilson
B: 1984-06-05
D: 2017-09-28
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Wilson, Brian
Joseph Olszewski
B: 1923-03-14
D: 2017-09-27
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Olszewski, Joseph
Armando Ayala
B: 1953-02-16
D: 2017-09-27
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Ayala, Armando
Clayton Brewer
B: 1945-02-28
D: 2017-09-26
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Brewer, Clayton
Lt Col Sally Lynch
B: 1935-01-24
D: 2017-09-24
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Lynch, Lt Col Sally
William Barta
B: 1927-07-25
D: 2017-09-24
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Barta, 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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