Obituaries

Harrison Demgen
B: 1926-07-23
D: 2017-09-21
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Demgen , Harrison
Pasco Masso
D: 2017-09-12
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Masso, Pasco
Mary Studstill
B: 1936-01-16
D: 2017-09-09
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Studstill, Mary
Beatrice Britton
D: 2017-09-08
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Britton, Beatrice
Virginia Buckless
B: 1943-07-26
D: 2017-09-08
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Buckless, Virginia
Mary Spivey
B: 1924-01-30
D: 2017-09-07
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Spivey, Mary
Dale Jamison
B: 1930-10-16
D: 2017-09-06
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Jamison, Dale
Sandra Arnold
B: 1957-08-24
D: 2017-09-04
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Arnold, Sandra
Monica Patino
B: 1984-07-18
D: 2017-09-04
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Patino, Monica
Gordon Roberts
B: 2017-10-23
D: 2017-09-03
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Roberts, Gordon
Jennie Cannon
B: 1929-01-20
D: 2017-09-03
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Cannon, Jennie
Shirley Sawyer
B: 1929-01-09
D: 2017-09-03
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Sawyer, Shirley
Teresa Kelly
B: 1955-05-15
D: 2017-08-29
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Kelly, Teresa
Margie Cronin
B: 1922-03-24
D: 2017-08-29
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Cronin, Margie
Joseph Moccio
B: 1934-01-19
D: 2017-08-28
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Moccio, Joseph
Joan Donelson
B: 1937-02-24
D: 2017-08-27
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Donelson, Joan
Elaine Ilku
B: 1941-02-07
D: 2017-08-26
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Ilku, Elaine
Thomas Jacobs
B: 1939-09-12
D: 2017-08-26
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Jacobs, Thomas
Walter Wall
B: 1934-08-14
D: 2017-08-25
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Wall, Walter
Alda Brillante
B: 1932-12-05
D: 2017-08-23
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Brillante, Alda
James Fowler
B: 1957-12-12
D: 2017-08-20
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Fowler, James

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560 Montreal Avenue
Melbourne, FL 32935
Phone: 321-254-1532
Fax: 321-255-2409

Immediate Need

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

To report a death to Davis Seawinds Funeral Home & Crematory, please notify us first by phone at 321-254-1532.

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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