Obituaries

Bill Padgett
B: 1954-10-21
D: 2017-05-22
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Padgett, Bill
Robert Johnson
B: 1937-07-03
D: 2017-05-21
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Johnson , Robert
George Hosford
B: 1938-12-21
D: 2017-05-19
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Hosford , George
Christopher Garrow
B: 1956-06-27
D: 2017-05-18
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Garrow, Christopher
Barbara McGuire
B: 1957-06-04
D: 2017-05-17
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McGuire, Barbara
Cliff Plourd
B: 1935-01-24
D: 2017-05-14
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Plourd, Cliff
Janet Rothwell
B: 1926-04-12
D: 2017-05-09
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Rothwell , Janet
Patricia Hill
B: 1931-12-07
D: 2017-04-23
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Hill, Patricia
Mary Kirkham
B: 1926-03-07
D: 2017-04-22
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Kirkham, Mary
Eleanor Durgin
B: 1932-10-12
D: 2017-04-21
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Durgin , Eleanor
William Walden
B: 1942-04-20
D: 2017-04-20
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Walden , William
Sylvia Stalk
B: 1926-03-18
D: 2017-04-19
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Stalk , Sylvia
William Dittamo
B: 1946-09-11
D: 2017-04-01
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Dittamo , William
Carol Abbott
B: 1931-07-03
D: 2017-03-30
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Abbott, Carol
Dorothy O'Donnell
B: 1933-02-25
D: 2017-03-29
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O'Donnell, Dorothy
George Terranova
B: 1930-08-26
D: 2017-03-26
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Terranova , George
Henry Simmons
B: 1921-08-08
D: 2017-03-23
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Simmons , Henry
Philomena Florio
B: 1927-04-24
D: 2017-03-20
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Florio, Philomena
Fred Skelton
B: 1931-06-24
D: 2017-03-15
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Skelton, Fred
Rachel Hudson
B: 1927-07-22
D: 2017-03-11
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Hudson , Rachel
John Dwyer
B: 1928-04-07
D: 2017-03-07
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Dwyer, John

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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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