Obituaries

Ervin Sheperd
B: 1926-04-22
D: 2017-11-21
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Sheperd, Ervin
Mary Warner
B: 1919-03-10
D: 2017-11-21
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Warner, Mary
Mildred Belanger
B: 1927-12-03
D: 2017-11-12
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Belanger, Mildred
MaryAnn Knox
B: 1947-01-31
D: 2017-10-29
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Knox, MaryAnn
William Welch
B: 1954-09-01
D: 2017-10-28
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Welch, William
Sharon Lowrey
B: 1942-02-24
D: 2017-10-16
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Lowrey, Sharon
Bernice Canup
B: 1931-12-04
D: 2017-10-03
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Canup, Bernice
Doris Luckhurst
B: 1929-04-10
D: 2017-09-29
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Luckhurst , Doris
Nicolena Touten
B: 1926-10-12
D: 2017-09-26
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Touten, Nicolena
Muriel Demarest
B: 1925-06-11
D: 2017-09-19
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Demarest, Muriel
Judith Clapp
B: 1937-05-02
D: 2017-09-19
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Clapp, Judith
Jeanette Smith
B: 1934-03-11
D: 2017-09-17
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Smith , Jeanette
Ann Worth
B: 1925-12-20
D: 2017-09-13
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Worth, Ann
Milagros Rodriguez
B: 1939-05-04
D: 2017-09-12
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Rodriguez, Milagros
Richard Dorfner
B: 1932-10-07
D: 2017-09-10
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Dorfner, Richard
Joan Dvorovy
B: 1937-05-02
D: 2017-09-06
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Dvorovy, Joan
Elizabeth Marland
B: 1942-08-16
D: 2017-09-05
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Marland, Elizabeth
Margaret McDonald
B: 1932-01-11
D: 2017-09-04
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McDonald, Margaret
Andrew Kapalko
B: 1954-02-09
D: 2017-09-01
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Kapalko, Andrew
June Martin
B: 1929-05-29
D: 2017-09-01
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Martin, June
Mae Kosslow
B: 1923-08-20
D: 2017-08-23
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Kosslow, Mae

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301 Big Tree Road
South Daytona, FL 32119
Phone: (386) 767-0120
Fax: (386) 767-0171

Immediate Need

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

To report a death to Cardwell, Baggett and Summers Funeral Home, please notify us first by phone at (386) 767-0120.

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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