Obituaries

Gerald Ensign
B: 1947-02-08
D: 2017-09-18
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Ensign, Gerald
Octavio Negrillo
B: 1932-03-22
D: 2017-09-17
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Negrillo, Octavio
John Williams
B: 1940-02-02
D: 2017-09-16
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Williams, John
Lorraine Cavaioli
B: 1930-06-10
D: 2017-09-12
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Cavaioli, Lorraine
Viburt Bernard
B: 1934-05-17
D: 2017-08-28
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Bernard, Viburt
Ahamad Ali
B: 1950-02-15
D: 2017-08-23
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Ali, Ahamad
Marcia Gacek
B: 1951-10-06
D: 2017-08-17
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Gacek, Marcia
Mary Forney
B: 1926-11-02
D: 2017-08-17
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Forney, Mary
Richard Woodworth
B: 1939-11-14
D: 2017-08-16
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Woodworth, Richard
Voyage Coker
B: 1930-03-11
D: 2017-08-14
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Coker, Voyage
Yusuf Ali
B: 1952-04-02
D: 2017-08-12
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Ali, Yusuf
Lindaura Alvarez
B: 1940-10-17
D: 2017-08-07
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Alvarez, Lindaura
Janice Hughes
B: 1934-01-16
D: 2017-08-05
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Hughes, Janice
William Harmon
B: 1953-10-09
D: 2017-08-03
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Harmon, William
Russell Rowe
B: 1926-07-01
D: 2017-08-02
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Rowe, Russell
Jimmy Hickman
B: 1940-03-21
D: 2017-07-31
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Hickman, Jimmy
Camilla Simoniello
B: 1925-03-10
D: 2017-07-30
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Simoniello, Camilla
Karen Sweeting
B: 1985-08-10
D: 2017-07-25
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Sweeting, Karen
Phyllis Abbatessa-Dwyer
B: 1941-03-14
D: 2017-07-21
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Abbatessa-Dwyer, Phyllis
Raymond Gleason
B: 1964-03-29
D: 2017-07-18
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Gleason, Raymond
George Bowers
B: 1929-04-18
D: 2017-07-17
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Bowers, George

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1420 N. University Drive
Coral Springs, FL 33071
Phone: (954) 255-8411
Fax: (954) 255-8447

Immediate Need

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

To report a death to Coral Springs Funeral Home, please notify us first by phone at (954) 255-8411.

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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