Obituaries

Imogene Dickerson
B: 1926-09-19
D: 2017-11-15
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Dickerson, Imogene
Samuel "Jack" Essary
B: 1932-12-04
D: 2017-11-13
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Essary, Samuel "Jack"
Charles Raymond
B: 1947-05-25
D: 2017-11-12
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Raymond , Charles
Mildred Holliman
B: 1916-06-12
D: 2017-11-08
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Holliman, Mildred
Jeanette Scott
B: 1938-03-03
D: 2017-11-08
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Scott, Jeanette
Linda Sims
B: 1942-12-29
D: 2017-11-04
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Sims, Linda
Kelly "Kelly Jo" Jones
B: 1930-08-06
D: 2017-11-02
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Jones , Kelly "Kelly Jo"
Elizabeth Chaple
B: 1929-09-11
D: 2017-11-01
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Chaple, Elizabeth
Tommy Buttram
B: 1942-03-27
D: 2017-10-31
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Buttram, Tommy
William Hocutt
B: 1953-11-03
D: 2017-10-30
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Hocutt, William
Pearl Jones
B: 1930-01-12
D: 2017-10-29
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Jones , Pearl
Robert Burnette
B: 1938-02-12
D: 2017-10-26
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Burnette, Robert
Willie Chatmon
B: 1923-04-04
D: 2017-10-24
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Chatmon, Willie
Annie Everett
D: 2017-10-21
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Everett, Annie
Leita Denson
B: 1909-07-04
D: 2017-10-19
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Denson, Leita
John Bainbridge
B: 1947-10-15
D: 2017-10-17
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Bainbridge, John
Victor Spanick
B: 1932-07-10
D: 2017-10-14
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Spanick, Victor
Dorothy Gallups
B: 1922-03-16
D: 2017-10-13
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Gallups, Dorothy
Mary Elizabeth Brown
B: 1931-11-07
D: 2017-10-04
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Brown, Mary Elizabeth
Sgt. Willie Lewis
B: 1944-09-12
D: 2017-09-29
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Lewis, Sgt. Willie
Lucille Hum
B: 1918-02-02
D: 2017-09-28
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Hum , Lucille

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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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