Obituaries

Sandra Acquaviva
B: 1942-02-01
D: 2017-06-17
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Acquaviva, Sandra
William Cavanaugh
B: 1948-05-04
D: 2017-06-16
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Cavanaugh, William
Kitt Stimson
B: 1918-01-27
D: 2017-06-16
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Stimson, Kitt
Albert Heister
B: 1987-03-25
D: 2017-06-15
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Heister, Albert
Sherrian Smith
B: 1952-09-04
D: 2017-06-14
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Smith, Sherrian
William Guthier
B: 1923-11-13
D: 2017-06-13
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Guthier, William
Deborah Jackson
B: 1951-03-16
D: 2017-06-10
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Jackson, Deborah
James Schrum
B: 1933-12-09
D: 2017-06-08
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Schrum, James
Ruth Schaefer
B: 1918-06-13
D: 2017-06-08
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Schaefer, Ruth
Judith LaPorte
B: 1941-10-06
D: 2017-06-07
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LaPorte, Judith
Paul Ellis
B: 1945-06-08
D: 2017-06-07
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Ellis, Paul
Peter Martin
B: 1931-09-14
D: 2017-06-07
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Martin, Peter
Kenneth Roberts
B: 1925-05-24
D: 2017-06-05
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Roberts, Kenneth
Mary Louise Fisher
B: 1928-12-11
D: 2017-06-05
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Fisher, Mary Louise
Richard Hills
B: 1927-08-21
D: 2017-06-05
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Hills, Richard
Carl Medeiros
B: 1942-07-08
D: 2017-06-04
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Medeiros, Carl
Chance Rivero
B: 1997-09-03
D: 2017-06-03
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Rivero, Chance
Ronald Kell
B: 1953-11-13
D: 2017-06-02
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Kell, Ronald
Evelyn Covaleski
B: 1936-01-24
D: 2017-06-02
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Covaleski, Evelyn
Peter Peck
B: 1933-06-03
D: 2017-06-01
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Peck, Peter
Felix Karsky
B: 1933-03-24
D: 2017-05-31
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Karsky, Felix

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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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