Obituaries

J.R. Cox
B: 1931-06-05
D: 2017-10-18
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Cox, J.R.
Earl Kahn
B: 1939-06-19
D: 2017-10-17
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Kahn, Earl
Lowell Neuenschwander
B: 1932-08-09
D: 2017-10-17
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Neuenschwander, Lowell
Helen Goonen
B: 1922-04-30
D: 2017-10-17
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Goonen, Helen
Carl Revert
B: 1944-04-02
D: 2017-10-14
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Revert, Carl
Richard Ludlow
B: 1930-03-27
D: 2017-10-13
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Ludlow, Richard
Patricia Burchette
B: 1939-03-04
D: 2017-10-13
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Burchette, Patricia
Laverne Buchwald
B: 1941-05-29
D: 2017-10-06
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Buchwald, Laverne
Georgia Jeffers
B: 1938-03-05
D: 2017-10-05
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Jeffers, Georgia
Debra Wyss
B: 1952-02-28
D: 2017-10-03
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Wyss, Debra
Mark Leimer
B: 1961-10-17
D: 2017-10-03
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Leimer, Mark
Wayne Winter
B: 1943-05-24
D: 2017-09-30
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Winter, Wayne
Marilyn Beam
B: 1929-02-25
D: 2017-09-30
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Beam, Marilyn
Edward Beck
B: 1960-08-08
D: 2017-09-27
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Beck, Edward
Charles Shoppell
B: 1932-11-25
D: 2017-09-23
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Shoppell, Charles
Romayne Carnahan-Chapman
B: 1927-03-03
D: 2017-09-23
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Carnahan-Chapman, Romayne
Robert Imel
B: 1955-07-30
D: 2017-09-21
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Imel, Robert
Thomas Franks
B: 1933-11-03
D: 2017-09-20
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Franks, Thomas
Ramona Hernandez
B: 1959-01-24
D: 2017-09-19
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Hernandez, Ramona
Diannia Esparza
B: 1957-10-18
D: 2017-09-15
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Esparza, Diannia
Bertha Fromm
B: 1921-07-04
D: 2017-09-08
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Fromm, Bertha

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8408 Covington Road
Fort Wayne, IN 46804
Phone: (260) 432-2508
Fax: (260) 436-5150

Immediate Need

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

To report a death to Covington Memorial Funeral Home, please notify us first by phone at (260) 432-2508.

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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