Obituaries

Ermyne Pearson
B: 1930-07-26
D: 2017-07-18
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Pearson, Ermyne
Michael Pierce
B: 1937-09-09
D: 2017-07-15
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Pierce, Michael
Rosemary Wigmore
B: 1959-01-06
D: 2017-07-15
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Wigmore, Rosemary
Jeanette Victor
B: 1924-05-12
D: 2017-07-15
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Victor, Jeanette
Frank Scott
B: 1932-11-07
D: 2017-07-12
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Scott, Frank
Howard Johnson
B: 1949-06-01
D: 2017-07-10
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Johnson, Howard
Cheryl Mottern
B: 1951-05-07
D: 2017-07-07
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Mottern, Cheryl
Clarice Fourari
B: 1969-04-26
D: 2017-07-06
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Fourari, Clarice
William Egner
B: 1949-01-24
D: 2017-07-01
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Egner, William
Richard Eichelberger
B: 1936-05-09
D: 2017-07-01
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Eichelberger, Richard
Walter Frisby
B: 1938-09-15
D: 2017-06-30
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Frisby, Walter
Mary Van Valkenburg
B: 1925-09-01
D: 2017-06-28
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Van Valkenburg, Mary
Deborah Yerkes
B: 1947-10-30
D: 2017-06-27
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Yerkes, Deborah
Janet Bommarito
B: 1961-01-23
D: 2017-06-23
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Bommarito, Janet
Latricia Haralson
B: 1942-12-07
D: 2017-06-20
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Haralson, Latricia
Julia Chrisman
B: 1955-08-21
D: 2017-06-19
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Chrisman, Julia
Robert Stewart
B: 1936-02-22
D: 2017-06-09
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Stewart, Robert
Molly Dickerson
B: 1929-11-18
D: 2017-06-08
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Dickerson, Molly
Robert Sechler
B: 1923-09-11
D: 2017-05-29
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Sechler, Robert
Marilyn Summe
B: 1931-07-11
D: 2017-05-28
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Summe, Marilyn
Theresa Galarneau
B: 1951-09-01
D: 2017-05-28
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Galarneau, Theresa

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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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