Obituaries

Patsy Putman
B: 1940-02-08
D: 2018-01-20
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Putman, Patsy
Pete Collier
D: 2018-01-18
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Collier, Pete
Erwin Coleman
B: 1920-05-30
D: 2018-01-15
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Coleman, Erwin
Carlton Hughes
B: 1926-11-12
D: 2018-01-14
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Hughes, Carlton
Grace Gobel
B: 1920-10-26
D: 2018-01-14
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Gobel, Grace
Ann Barnett
B: 1928-07-03
D: 2018-01-11
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Barnett, Ann
Jewel Barnett
B: 1932-02-07
D: 2018-01-10
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Barnett, Jewel
Wanda Gilmore
B: 1939-02-28
D: 2018-01-10
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Gilmore, Wanda
Shelby Lash
B: 1936-11-16
D: 2018-01-09
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Lash, Shelby
Grady Threet
B: 1920-03-31
D: 2018-01-07
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Threet, Grady
Evelyn Hammond
B: 1925-04-10
D: 2018-01-07
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Hammond, Evelyn
Eugene Spiotto
B: 1923-02-10
D: 2018-01-05
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Spiotto, Eugene
Robert Brewer
B: 1964-03-22
D: 2018-01-05
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Brewer, Robert
Barbara Hood
B: 1932-10-04
D: 2018-01-03
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Hood, Barbara
Oscar Moore
B: 1944-04-01
D: 2018-01-02
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Moore, Oscar
Juanita Rhodes
B: 1927-06-16
D: 2018-01-01
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Rhodes, Juanita
Marilla Dawson
B: 1932-03-21
D: 2017-12-29
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Dawson, Marilla
Bryce Tidwell
B: 1934-08-10
D: 2017-12-29
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Tidwell, Bryce
Christine Jackson
B: 1932-09-12
D: 2017-12-27
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Jackson, Christine
Bobby Perry
B: 1940-09-17
D: 2017-12-25
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Perry, Bobby
Amanda Pass
B: 1976-01-15
D: 2017-12-24
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Pass, Amanda

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1535 Hermitage Drive
Florence, AL 35630
Phone: (256) 764-0221
Fax: (256) 764-5626

Immediate Need

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

To report a death to Elkins Funeral Homes, please notify us first by phone at (256) 764-0221 or 757-2144.

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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