Obituaries

Betty Durance Davis
B: 1934-09-07
D: 2017-09-17
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Durance Davis, Betty
Dorothy Shaw
B: 1927-09-06
D: 2017-09-13
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Shaw, Dorothy
Faye Lucas
B: 1926-12-19
D: 2017-09-12
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Lucas, Faye
Gloria Powell
B: 1945-11-30
D: 2017-09-09
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Powell, Gloria
William James
B: 1948-04-18
D: 2017-09-07
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James, William
Anna Ivanchenko
B: 1925-07-13
D: 2017-09-06
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Ivanchenko, Anna
Jeannette Waskiewicz
B: 1934-12-06
D: 2017-09-04
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Waskiewicz, Jeannette
Svetlana Bratulina
B: 1958-03-12
D: 2017-09-04
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Bratulina, Svetlana
Shirley Fowler
B: 1942-08-13
D: 2017-08-30
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Fowler, Shirley
Sarah Harrison
B: 1930-05-10
D: 2017-08-28
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Harrison, Sarah
Linda Haga
B: 1955-03-27
D: 2017-08-25
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Haga, Linda
Allene Potter
B: 1944-08-09
D: 2017-08-24
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Potter, Allene
Leila Kronke
B: 1949-06-28
D: 2017-08-24
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Kronke, Leila
Dorothy Clark
B: 1919-10-25
D: 2017-08-23
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Clark, Dorothy
Kyle Brunson
B: 1985-01-15
D: 2017-08-22
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Brunson, Kyle
Alvin Bayer
B: 1935-12-31
D: 2017-08-19
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Bayer, Alvin
Myrna Hill
B: 1928-01-21
D: 2017-08-17
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Hill, Myrna
Vera Waters
B: 1923-01-04
D: 2017-08-16
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Waters, Vera
Regina Price Johnson
B: 1958-09-12
D: 2017-08-13
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Price Johnson, Regina
Olivia Hubbard
B: 1924-10-30
D: 2017-08-12
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Hubbard, Olivia
Lucile Little
B: 1916-04-10
D: 2017-08-10
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Little, Lucile

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6920 Lone Star Road
Jacksonville, FL 32211
Phone: (904) 724-6384
Fax: (904) 727-3410

Immediate Need

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

To report a death to Arlington Park Funeral Home, please notify us first by phone at (904) 724-6384.

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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