Obituaries

Fernando Pinero
B: 1936-09-17
D: 2017-05-26
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Pinero, Fernando
Linda Adams
B: 1944-12-06
D: 2017-05-24
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Adams, Linda
Edward Brown
B: 1939-12-20
D: 2017-05-22
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Brown, Edward
Walter Juzenas
B: 1945-06-25
D: 2017-05-21
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Juzenas, Walter
Harold Balch
B: 1925-12-25
D: 2017-05-20
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Balch, Harold
Ernest Cornelius
B: 1924-09-20
D: 2017-05-20
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Cornelius, Ernest
Janet Reid
B: 1933-03-03
D: 2017-05-19
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Reid, Janet
Dorothy Dytkowski
B: 1941-11-11
D: 2017-05-19
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Dytkowski, Dorothy
Diane Swain
B: 1955-04-05
D: 2017-05-19
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Swain, Diane
Rose Schneider
B: 1930-12-03
D: 2017-05-14
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Schneider, Rose
Michael Menezes
B: 1935-07-20
D: 2017-05-14
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Menezes, Michael
James Roberts
B: 1937-01-31
D: 2017-05-14
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Roberts, James
Franklin Romines
B: 1953-08-12
D: 2017-05-14
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Romines, Franklin
Roger Gustafson
B: 1950-06-12
D: 2017-05-14
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Gustafson, Roger
Ena Rodriques
B: 1933-10-16
D: 2017-05-14
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Rodriques, Ena
Karen Boone
B: 1953-01-15
D: 2017-05-13
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Boone, Karen
Violet Brown
B: 1931-02-17
D: 2017-05-13
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Brown, Violet
Victor Pagona
B: 1941-08-24
D: 2017-05-12
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Pagona, Victor
Alma Slavin
B: 1971-01-26
D: 2017-05-11
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Slavin, Alma
Mark Barlow
B: 1985-10-02
D: 2017-05-10
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Barlow, Mark
Audrey Perry
B: 1940-09-06
D: 2017-05-10
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Perry, Audrey

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733 W. Granada Blvd.
Ormond Beach, FL 32174
Phone: (386) 673-1100
Fax: (386) 673-1101

Immediate Need

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

To report a death to Lohman Funeral Homes, please notify us first by phone at (386) 673-1100.

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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