Obituaries

Joyce McDougall
B: 1925-09-29
D: 2017-05-22
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McDougall, Joyce
Jane Murphy
B: 1923-01-30
D: 2017-05-21
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Murphy, Jane
Sotero Chirino
B: 1937-04-22
D: 2017-05-16
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Chirino, Sotero
Carmela Zanghi
B: 1934-09-15
D: 2017-05-12
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Zanghi, Carmela
Jose Zamora
B: 1933-04-23
D: 2017-05-09
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Zamora, Jose
Charlsie Sherritze
B: 1936-05-01
D: 2017-05-03
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Sherritze, Charlsie
Mary Gonzalez
B: 1922-03-02
D: 2017-05-02
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Gonzalez, Mary
Jose Santiago
B: 1929-04-03
D: 2017-04-27
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Santiago, Jose
Kenneth Cowan
B: 1945-03-18
D: 2017-04-27
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Cowan, Kenneth
Blake Tillis
B: 1954-10-11
D: 2017-04-27
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Tillis, Blake
Clifford Campbell
B: 1922-09-23
D: 2017-04-26
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Campbell, Clifford
Bessie Hillman
B: 1934-07-19
D: 2017-04-25
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Hillman, Bessie
Alfredo Collazo
B: 1960-02-01
D: 2017-04-08
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Collazo, Alfredo
Guillermo Martin
B: 1934-07-31
D: 2017-04-08
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Martin, Guillermo
Arlene Gray
B: 1952-11-08
D: 2017-04-03
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Gray, Arlene
George Simonetti
B: 1927-08-04
D: 2017-03-30
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Simonetti, George
Robert Adams
B: 1945-05-14
D: 2017-03-26
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Adams, Robert
Doris Edwards-Courty
B: 1925-11-12
D: 2017-03-25
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Edwards-Courty, Doris
Duval Evans
B: 1934-09-02
D: 2017-03-20
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Evans , Duval
Robert Fatzinger
B: 1938-01-01
D: 2017-03-12
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Fatzinger, Robert
Nickie Eaton
B: 1946-02-23
D: 2017-03-08
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Eaton, Nickie

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6900 N. Nebraska Ave.
Tampa, FL 33604
Phone: (813) 237-3345
Fax: (813) 231-7251

Immediate Need

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

To report a death to Adams & Jennings Funeral Home, please notify us first by phone at (813) 237-3345.

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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