Funeral Home Albany GA

Your Email  
   
VITAL STATISTICS RECORD  
For the arrangements of:  
Last Name First Name
Middle Name Maiden Name
Address
City
State
Zip Code Residence in the city limits?
Formerly of (If Applicable) Sex
Date of Birth Age
Birthplace City Birthplace County
Birthplace State Last 4 of Social Security Number
Full Name of Father Full / Maiden Name of Mother
Marital Status Full / Maiden Name of Spouse
Military Service (And if so, DD 214) Occupation
Employer How Long
Type of Industry / Business Church Affiliation
Civic Involvement / Memberships (Including Other)  
 
   
SURVIVORS  
Spouse (Including City of Residence)  
Children (Including In-Laws and City of Residence) Brothers
Sisters
Parents (Including City of Residence)
Grandparents (If Living) Grandchildren (Including City of Residence or Total Number)
Number of Great-Grandchildren Number of Great-Great-Grandchildren
   
FUNERAL INSTRUCTIONS  
Place of Funeral  
Officiating Minister(s) Place of Interment (Name, City, State, Zip, County)
Musical Selections(s) Vocalist(s)
Pianist(s) / Organist(s) Visitation Hour(s) and Instructions
Processions
Flag?
Hairdresser
Pallbearers
Other Information / Instructions
Newspapers
Memorials
 
CONTACT INFORMATION (other than the person in this arrangement)
Your Name, Relationship, Address, City, State, Zip Code, Home and Other Telephone Number
Name, Relationship, Address, City, State, Zip Code, Home and Other Telephone Number
Name, Relationship, Address, City, State, Zip Code, Home and Other Telephone Number
Name, Relationship, Address, City, State, Zip Code, Home and Other Telephone Number