Obituaries

Dannie Cox
B: 1946-03-21
D: 2018-01-20
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Cox, Dannie
Shirley Dye
B: 1934-12-01
D: 2018-01-20
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Dye, Shirley
Marilyn Cannon
B: 1957-03-17
D: 2018-01-19
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Cannon, Marilyn
Patricia Powell
B: 1946-03-05
D: 2018-01-19
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Powell, Patricia
Jimmy Peterson
B: 1931-10-29
D: 2018-01-11
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Peterson, Jimmy
Louise Wallace
B: 1920-07-12
D: 2018-01-11
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Wallace, Louise
Edith Waits
B: 1936-03-12
D: 2018-01-10
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Waits, Edith
Helen Martin
B: 1936-06-01
D: 2018-01-01
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Martin, Helen
Deborah "Debra" Albright
B: 1952-08-08
D: 2018-01-01
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Albright , Deborah "Debra"
Delois Holst
B: 1954-02-20
D: 2018-01-01
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Holst, Delois
Nelson Jones
B: 1947-02-12
D: 2017-12-31
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Jones , Nelson
George Schrader
B: 1931-01-13
D: 2017-12-29
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Schrader, George
Mary Coats Washington
B: 1923-02-12
D: 2017-12-29
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Coats Washington, Mary
Mary Hoffman
B: 1932-07-23
D: 2017-12-23
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Hoffman, Mary
Wilma Praytor
B: 1933-04-14
D: 2017-12-23
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Praytor, Wilma
Alice Odom
B: 1932-07-03
D: 2017-12-20
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Odom, Alice
Robert Jones
B: 1942-09-06
D: 2017-12-20
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Jones , Robert
David Reaves
B: 1946-02-28
D: 2017-12-17
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Reaves, David
Marlene Parsons
B: 1937-08-14
D: 2017-12-17
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Parsons, Marlene
Virginia Acoff
B: 1940-06-26
D: 2017-12-14
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Acoff, Virginia
Mila Herring
B: 1950-11-27
D: 2017-12-13
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Herring, Mila

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5317 Bessemer Super Highway
Midfield, AL 35228
Phone: (205) 425-9898
Fax: (205) 425-9797

Immediate Need

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

To report a death to Valhalla Funeral Home, please notify us first by phone at (205) 425-9898.

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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