Obituaries

Jacob Woods
B: 1985-01-11
D: 2017-01-11
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Woods, Jacob
Clestra Muir
B: 1923-11-21
D: 2017-01-08
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Muir, Clestra
Betty McConkey
B: 1922-05-27
D: 2017-01-07
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McConkey, Betty
Margaret Little
B: 1929-11-12
D: 2017-01-04
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Little, Margaret
Billie Hulsey
B: 1933-01-16
D: 2017-01-02
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Hulsey, Billie
Myrtle Stewart
B: 1937-06-05
D: 2017-01-02
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Stewart, Myrtle
Charles Smith
B: 1925-08-15
D: 2017-01-01
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Smith, Charles
Eva Malone
B: 1954-11-27
D: 2016-12-29
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Malone, Eva
Carolyn Thomas
B: 1924-06-14
D: 2016-12-28
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Thomas, Carolyn
Geraldine Smith
B: 1946-05-07
D: 2016-12-26
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Smith, Geraldine
Joe Ryan
B: 1934-03-07
D: 2016-12-22
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Ryan, Joe
Howard Hays
B: 1930-07-02
D: 2016-12-17
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Hays, Howard
Charles Gunter
B: 1927-01-25
D: 2016-12-16
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Gunter, Charles
Dorothy Stewart
B: 1929-08-14
D: 2016-12-15
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Stewart, Dorothy
Linda Proveaux
B: 1948-05-19
D: 2016-12-14
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Proveaux, Linda
Garndella Vaughn
B: 1924-07-23
D: 2016-12-11
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Vaughn, Garndella
Kathryn Dover
B: 1922-07-07
D: 2016-12-11
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Dover, Kathryn
Roselle Cooley
B: 1919-10-04
D: 2016-12-10
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Cooley, Roselle
Inez Nichols
B: 1928-01-12
D: 2016-12-09
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Nichols, Inez
Irene Heard
B: 1921-08-06
D: 2016-12-04
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Heard, Irene
Helen Smith
B: 1929-08-25
D: 2016-12-01
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Smith, Helen

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

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. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:
(xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
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 and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file


 

 

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