Obituaries

Phillip Nichols
B: 1963-03-31
D: 2017-08-12
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Nichols, Phillip
Larry Smith
B: 1946-09-20
D: 2017-08-12
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Smith, Larry
Mary Monroe
B: 1943-08-15
D: 2017-08-08
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Monroe, Mary
Johnny Tyler
B: 1942-12-18
D: 2017-07-31
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Tyler, Johnny
Sadie Cheatham
B: 1930-10-25
D: 2017-07-28
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Cheatham, Sadie
Margaret Hoehn
B: 1919-12-30
D: 2017-07-27
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Hoehn, Margaret
Billy Smith
B: 1941-02-25
D: 2017-07-25
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Smith, Billy
Mary Francis Sexton
B: 1931-10-18
D: 2017-07-22
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Sexton, Mary Francis
Nonnie Ward
B: 1923-10-20
D: 2017-07-19
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Ward, Nonnie
Eva Harris
B: 1928-07-30
D: 2017-07-16
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Harris, Eva
Mary Smith
B: 1927-10-20
D: 2017-07-06
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Smith, Mary
J. Donald Barnett
B: 1937-11-02
D: 2017-07-01
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Barnett, J. Donald
William Herd
B: 1925-02-28
D: 2017-07-01
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Herd, William
Robert Hunter
B: 1950-09-25
D: 2017-06-29
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Hunter, Robert
Roger Mathews
B: 1937-10-21
D: 2017-06-20
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Mathews, Roger
Linda Bell
B: 1961-09-29
D: 2017-06-19
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Bell, Linda
Noah Johnson
B: 1929-06-20
D: 2017-06-19
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Johnson, Noah
Carl Hum
B: 1921-06-26
D: 2017-06-16
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Hum, Carl
Virgie Ware
B: 1922-03-25
D: 2017-06-08
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Ware, Virgie
Manuel Veiga
B: 1929-09-30
D: 2017-06-04
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Veiga, Manuel
Barbara Crider
B: 1926-11-24
D: 2017-05-31
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Crider, Barbara

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5317 Bessemer Super Highway
Midfield, AL 35228
Phone: (205) 425-9898
Fax: (205) 425-9797

Immediate Need

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

To report a death to Valhalla Funeral Home, please notify us first by phone at (205) 425-9898.

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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