Obituaries

Virginia Cocherille
B: 1926-04-02
D: 2017-08-20
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Cocherille, Virginia
Sharon Runge
B: 1939-05-18
D: 2017-08-17
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Runge, Sharon
Douglas Bird
B: 1961-07-13
D: 2017-08-16
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Bird, Douglas
Helen Hollman
B: 1924-06-15
D: 2017-08-11
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Hollman, Helen
Janet Beck
B: 1942-09-02
D: 2017-08-07
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Beck, Janet
Marilyn Rimmel~Schaab
B: 1935-01-17
D: 2017-08-05
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Rimmel~Schaab, Marilyn
Jack Mossburg
B: 1939-04-22
D: 2017-08-04
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Mossburg, Jack
Mary Lou Nave
B: 1927-07-02
D: 2017-08-04
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Nave, Mary Lou
Wanda Howell
B: 1923-08-01
D: 2017-07-31
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Howell, Wanda
Daniel Walsh
B: 1963-10-23
D: 2017-07-27
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Walsh, Daniel
Arthur Buchwald
B: 1940-01-17
D: 2017-07-27
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Buchwald, Arthur
Terry Gerig
B: 1948-04-02
D: 2017-07-18
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Gerig, Terry
Jack Smith
B: 1933-09-22
D: 2017-07-17
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Smith, Jack
Josephine Halter
B: 1922-06-17
D: 2017-07-13
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Halter, Josephine
Marcia Moore
B: 1940-09-24
D: 2017-07-12
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Moore, Marcia
Richard Beltz
B: 1923-01-19
D: 2017-06-30
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Beltz, Richard
Debra Clark
B: 1970-04-26
D: 2017-06-29
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Clark, Debra
James Houser
B: 1943-05-11
D: 2017-06-28
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Houser, James
Thomas Berning
B: 1954-01-24
D: 2017-06-26
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Berning, Thomas
Candace Eastman
B: 1955-08-01
D: 2017-06-23
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Eastman, Candace
Myrtle Keller
B: 1922-10-08
D: 2017-06-22
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Keller, Myrtle

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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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