Robert Ebaugh
B: 1929-02-24
D: 2017-12-17
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Ebaugh, Robert
Carol Huseman
B: 1937-04-26
D: 2017-12-17
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Huseman, Carol
Michael Senger
B: 1942-04-29
D: 2017-12-14
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Senger, Michael
Carol Bogen
B: 1945-06-20
D: 2017-12-13
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Bogen, Carol
Mary Jutton
B: 1943-02-22
D: 2017-12-13
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Jutton, Mary
Melvin Whitten
B: 1930-11-11
D: 2017-12-10
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Whitten, Melvin
Edward Gunvalsen
B: 1940-02-27
D: 2017-12-10
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Gunvalsen, Edward
Gaeton Siciliano
B: 1935-01-23
D: 2017-12-09
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Siciliano, Gaeton
Judith McKee
B: 1963-08-04
D: 2017-12-06
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McKee, Judith
Carol Johnson
B: 1950-08-07
D: 2017-12-06
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Johnson, Carol
Mary Heinbaugh
B: 1921-04-06
D: 2017-12-05
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Heinbaugh, Mary
Richard Rumpf
B: 1945-12-30
D: 2017-12-04
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Rumpf, Richard
Sarah Roever
B: 1932-04-03
D: 2017-12-04
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Roever, Sarah
Edward Bush
B: 1933-11-25
D: 2017-12-04
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Bush, Edward
Jessica Dugas
B: 1977-12-10
D: 2017-12-03
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Dugas, Jessica
Herbert Gravell
B: 1965-12-16
D: 2017-12-02
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Gravell, Herbert
George Mallamaci
B: 1939-06-18
D: 2017-12-02
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Mallamaci, George
George Talbot
B: 1935-02-11
D: 2017-12-02
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Talbot, George
Lesley Patterson
B: 1927-09-16
D: 2017-11-30
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Patterson, Lesley
Theodore Zygala
B: 1923-01-26
D: 2017-11-30
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Zygala, Theodore
Richard Slater
B: 1943-04-29
D: 2017-11-30
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Slater, Richard


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560 Montreal Avenue
Melbourne, FL 32935
Phone: 321-254-1532
Fax: 321-255-2409

Immediate Need

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

To report a death to Davis Seawinds Funeral Home & Crematory, please notify us first by phone at 321-254-1532.

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:
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
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

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:
Officiating Clergy:
Flower Preference:
Music Selection:
Casket Preference:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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