Obituaries

Kalinda Koolhaas
B: 2010-02-21
D: 2018-01-18
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Koolhaas, Kalinda
Barbara Johnson
B: 1936-04-14
D: 2018-01-17
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Johnson, Barbara
Edith DaCosta
B: 1935-01-12
D: 2018-01-12
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DaCosta, Edith
Wayne Preisinger
B: 1947-07-10
D: 2018-01-11
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Preisinger, Wayne
Joseph Mirando
B: 1921-03-18
D: 2018-01-08
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Mirando, Joseph
Martha Hilliard
B: 1926-07-06
D: 2018-01-08
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Hilliard, Martha
Victor Caggiano
B: 1941-01-20
D: 2018-01-07
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Caggiano, Victor
Charles Carter
B: 1953-11-28
D: 2018-01-07
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Carter, Charles
James McQuarters
B: 1933-02-01
D: 2017-12-31
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McQuarters, James
William Hayton
B: 1923-12-22
D: 2017-12-29
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Hayton, William
June Reed
B: 1925-06-08
D: 2017-12-27
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Reed, June
Richard Czapla
B: 1940-04-16
D: 2017-12-24
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Czapla, Richard
Eleanor Boyd
B: 1930-06-03
D: 2017-12-18
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Boyd, Eleanor
Richard Barina
B: 1942-05-30
D: 2017-12-18
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Barina, Richard
Dorothy Bortka
B: 1927-09-07
D: 2017-12-17
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Bortka, Dorothy
Jan Arthur
B: 1939-01-01
D: 2017-12-16
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Arthur, Jan
Margaret Jorgensen
B: 1922-11-11
D: 2017-12-15
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Jorgensen, Margaret
Mary Wilmer
B: 1933-10-14
D: 2017-12-15
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Wilmer, Mary
Yoko Harrison
B: 1938-10-29
D: 2017-12-13
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Harrison, Yoko
Kathleen Ekberg
B: 1929-10-15
D: 2017-12-12
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Ekberg, Kathleen
Lynn Plant
B: 1930-05-02
D: 2017-12-07
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Plant, Lynn

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1800 N. Donnelly St.
Mount Dora, FL 32757
Phone: (352) 383-8178
Fax: (352) 735-1739

Immediate Need

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

To report a death to Allen J. Harden Funeral Home, please notify us first by phone at (352) 383-8178.

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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