Obituaries

Theresa Benedict
B: 1945-03-21
D: 2017-08-14
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Benedict, Theresa
Ruth Boudreau
B: 1936-12-19
D: 2017-08-13
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Boudreau, Ruth
Nancy DeSalvo
B: 1927-01-12
D: 2017-08-13
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DeSalvo, Nancy
Sandra Dunlap
B: 1934-07-14
D: 2017-08-12
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Dunlap, Sandra
Marcus Gay
B: 1950-08-01
D: 2017-08-11
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Gay, Marcus
Marlin Immell
B: 1932-05-30
D: 2017-08-10
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Immell, Marlin
Daniel Walker
B: 1927-01-29
D: 2017-08-10
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Walker, Daniel
Doris Gagnon
B: 1928-12-12
D: 2017-08-09
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Gagnon, Doris
Verna Kerrigan
B: 1925-10-01
D: 2017-08-08
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Kerrigan, Verna
George Kelley
B: 1930-10-09
D: 2017-08-06
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Kelley, George
George Reinhart
B: 1937-10-26
D: 2017-08-06
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Reinhart, George
Horst Partenheimer
B: 1934-03-01
D: 2017-08-06
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Partenheimer, Horst
Walter Cohan
B: 1923-08-20
D: 2017-08-06
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Cohan, Walter
Mary Jane Galicki
B: 1948-03-18
D: 2017-08-06
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Galicki, Mary Jane
Stanley Gigel
B: 1931-07-01
D: 2017-08-06
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Gigel, Stanley
John Broom
B: 1922-03-22
D: 2017-08-04
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Broom, John
Burton Weisbecker
B: 1925-01-31
D: 2017-08-03
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Weisbecker, Burton
Barbara Welle
B: 1938-04-10
D: 2017-08-02
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Welle, Barbara
Alfred Huntley
B: 1925-06-23
D: 2017-07-31
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Huntley, Alfred
Marjorie Braender
B: 1925-12-08
D: 2017-07-31
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Braender, Marjorie
Russell Galasso
B: 1931-12-24
D: 2017-07-30
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Galasso, Russell

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1950 20th Street
Vero Beach, FL 32960
Phone: (772) 562-2365
Fax: (772) 562-0983

Immediate Need

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

To report a death to Cox-Gifford Seawinds Funeral Home & Crematory, please notify us first by phone at (772) 562-2365.

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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