Obituaries

Oriania Covington-Cieslak
B: 1924-12-31
D: 2017-08-19
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Covington-Cieslak, Oriania
Michael Schnake
B: 1946-06-16
D: 2017-08-16
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Schnake, Michael
John Metcalf
B: 1922-07-30
D: 2017-08-15
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Metcalf, John
Edith Doyle
B: 1934-09-10
D: 2017-08-11
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Doyle, Edith
Matilde DeFriese
B: 1925-06-02
D: 2017-08-10
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DeFriese, Matilde
Joseph Schreiber
B: 1931-05-19
D: 2017-08-05
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Schreiber, Joseph
Jeanie LaBudie
B: 1930-01-03
D: 2017-08-04
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LaBudie, Jeanie
Willard Levi
B: 1920-11-26
D: 2017-08-03
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Levi, Willard
Arnold Schnabel
B: 1931-10-17
D: 2017-08-03
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Schnabel, Arnold
Jennie Mumola
B: 1930-08-28
D: 2017-08-02
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Mumola, Jennie
Dorothy Young
B: 1923-07-30
D: 2017-07-27
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Young, Dorothy
James Boyas
B: 1932-05-05
D: 2017-07-25
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Boyas, James
Alfredo Rodriguez-Pacheco
B: 1957-10-30
D: 2017-07-21
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Rodriguez-Pacheco, Alfredo
Dora Muniz
B: 1922-02-06
D: 2017-07-18
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Muniz, Dora
Charles LaMotta
B: 1926-04-04
D: 2017-07-17
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LaMotta, Charles
Gene Nipper
B: 1927-06-24
D: 2017-07-08
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Nipper, Gene
Luis Pastrana
B: 1937-05-03
D: 2017-07-05
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Pastrana, Luis
Peter Laker
B: 1930-01-14
D: 2017-07-04
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Laker, Peter
Robert Domikis
B: 1938-02-17
D: 2017-07-01
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Domikis, Robert
Damon Bosanko
B: 1995-04-04
D: 2017-06-06
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Bosanko, Damon
Paul Dobranski
B: 1954-02-26
D: 2017-05-30
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Dobranski, Paul

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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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