Obituaries

Edna Sutton
B: 1912-09-08
D: 2017-12-11
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Sutton, Edna
Donnasue Osborn
B: 1933-07-30
D: 2017-12-09
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Osborn, Donnasue
Rosemary Brantley
B: 1929-04-09
D: 2017-12-07
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Brantley, Rosemary
Jason Strup
B: 1972-09-21
D: 2017-12-04
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Strup, Jason
George Roberts
B: 1920-02-03
D: 2017-11-30
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Roberts, George
Richard Carmer
B: 1924-10-11
D: 2017-11-29
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Carmer, Richard
Joseph Barney
B: 1934-05-09
D: 2017-11-28
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Barney, Joseph
Douglas "Duke" Mauzy
B: 1958-09-23
D: 2017-11-27
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Mauzy, Douglas "Duke"
Mary Simon
B: 1932-01-03
D: 2017-11-21
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Simon, Mary
Jack Green
B: 1937-03-24
D: 2017-11-18
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Green, Jack
Ilo Fankhauser
B: 1937-06-09
D: 2017-11-16
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Fankhauser, Ilo
David Troyer
B: 1960-07-27
D: 2017-11-16
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Troyer, David
Jerry White
B: 1958-05-10
D: 2017-11-15
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White, Jerry
Don Stanley
B: 1961-05-03
D: 2017-11-14
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Stanley, Don
Judith Kaminski
B: 1940-06-06
D: 2017-11-12
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Kaminski, Judith
Elaine Ponsot
B: 1927-05-29
D: 2017-11-10
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Ponsot, Elaine
Sharon Wellman
B: 1939-01-07
D: 2017-11-08
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Wellman, Sharon
Frank McMaster
B: 1952-12-02
D: 2017-11-05
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McMaster, Frank
Paul McCrillis
B: 1934-05-09
D: 2017-10-22
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McCrillis, Paul
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

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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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