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Davis Funeral Homes & Memorial Park

To be placed in the permanent files of Davis Funeral Homes & Memorial Park.
*Require fields

Person Completing this Form*:
Pre-arrangement Guide For
Full Legal Name*:
(no initials please)
(no P.O. Box)
Date of Birth:
Place of Birth:
Father's Full Name:
Mother's Full Maiden Name:
Highest Level of Education Completed:
Veteran: Yes No
Military Branch:
Dates of Service:
Spouse's Full Name:
(Wife's maiden name, if applicable)
Religious Affiliation/Congregation:
Family Member Information

Family Member #1

Funeral Arrangement Details
Person in charge of arrangements:
Place of service or gathering:
If Other, please specify:


Preference for final disposition:
If Other, please specify:
Disposition of cremated body:

In the space provided below, please share any information that would be helpful in creating a meaningful service. (ie. favorite hobbies, places, music selections, poems, scripture, etc.)

Any final thoughts that should be shared?


Do you wish to be contacted to discuss the details
of these arrangements, cost or payment options? Yes No

If yes, how should we contact you:
Phone Number:

If no, we will keep this information on file until you or your surviving family requests it.

  security code
Enter Security Code:

Brenda Copeland
Born: 9/20/1951
Died: 7/19/2016
Gilbert Spah
Born: 9/5/1932
Died: 7/15/2016
Robert Bustos II
Born: 3/3/1999
Died: 7/11/2016
George Hurley
Born: 9/2/1925
Died: 7/9/2016
Angelo Maietta, Jr.
Born: 10/30/1933
Died: 7/8/2016
Onnig Karkouzian
Born: 12/25/1949
Died: 7/7/2016
Robert Hill, Sr.
Born: 4/24/1918
Died: 7/7/2016
Tomas Garcia
Born: 2/23/1975
Died: 7/3/2016
Golda Greenberg-Peter
Born: 5/31/1931
Died: 7/2/2016

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Davis Funeral Homes & Memorial Park | 6200 South Eastern Avenue | Las Vegas, NV 89119 | 702-736-6200
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