Funeral Homes in Cordele, GA | Hughes & Wright Funeral Home

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Name:

Name at Birth:

Gender:

Date of Birth:

Social Security Number:

Occupation:

Type of Business/Industry:

Residence Address:

City:

State:

Country

ZipCode:

Birthplace:

Marital Status:

Spouse (Maiden Name):

Surviving

Yes

Ancestory:

Race:

Hispanic Origin:

U.S. Armed Forces Member:

Highest Education:

Father's Name:

Mother's Name

Informant's Name:

Relationship:

Informant Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

New Field:

Surviving Relatives

Location of Funeral/Memorial service

Location of Visitation

Clergy

Musician

Songs to be played/Sung

Soloist

Active Pallbearers

Honorary Pallbearers

Memorial contributions to be made to (if any desired):

Cemetery Name and Location

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Phone: 229-273-0012

Fax: 229-271-5400

hughesandwright@gmail.com

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