Obituaries

Mary Kelleher
B: 1929-10-16
D: 2017-10-08
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Kelleher, Mary
Nettie Carney
B: 1934-07-14
D: 2017-10-06
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Carney, Nettie
Henry VanNess
B: 1928-07-31
D: 2017-10-02
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VanNess, Henry
Carrie Munns
B: 1964-05-05
D: 2017-09-30
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Munns, Carrie
Thelma Williams
B: 1931-11-06
D: 2017-09-27
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Williams, Thelma
Esther Eldridge
B: 1926-03-08
D: 2017-09-24
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Eldridge, Esther
Charlene Hamlett
B: 1929-01-13
D: 2017-09-19
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Hamlett, Charlene
Joyce Golden
B: 1926-10-13
D: 2017-09-12
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Golden, Joyce
John Sirmons
B: 1933-10-16
D: 2017-09-11
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Sirmons, John
Robert Smith
B: 1945-11-03
D: 2017-09-10
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Smith, Robert
Lois Hannah
B: 1935-12-02
D: 2017-09-09
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Hannah, Lois
Gregory Finton
B: 1966-10-27
D: 2017-09-05
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Finton, Gregory
Olive Dunn
B: 1932-06-16
D: 2017-08-31
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Dunn, Olive
Blessing Asemota
B: 1955-05-04
D: 2017-08-31
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Asemota, Blessing
Ronnie Czerpak
B: 1963-05-10
D: 2017-08-29
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Czerpak, Ronnie
Robert Binger
B: 1930-06-02
D: 2017-08-26
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Binger, Robert
Wallace Baker
B: 1941-08-27
D: 2017-08-19
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Baker, Wallace
Bernice Ennis
D: 2017-08-15
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Ennis, Bernice
Lottie Klos
D: 2017-08-14
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Klos, Lottie
Michael Delaney
B: 1942-12-03
D: 2017-08-13
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Delaney, Michael
Ruth Moore
B: 1935-06-13
D: 2017-08-10
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Moore, Ruth

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6755 Highway 51 North
Millington, TN 38053
Phone: (901) 872-3375
Fax: (901) 872-3352

Immediate Need

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

To report a death to Northridge Woodhaven Funeral Home, please notify us first by phone at (901) 872-3375.

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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