Obituaries

Peggy Henderson
B: 1951-02-16
D: 2018-01-18
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Henderson, Peggy
Marilyn Meazell
B: 1948-12-09
D: 2018-01-13
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Meazell, Marilyn
Johnny McManus
B: 1952-04-15
D: 2017-12-31
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McManus, Johnny
Ann Ridge
B: 1959-08-07
D: 2017-12-13
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Ridge, Ann
Ceburn Tackitt
B: 1940-07-30
D: 2017-12-03
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Tackitt, Ceburn
Catherine Beldin
B: 1951-04-02
D: 2017-12-02
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Beldin, Catherine
Kenneth Swor
B: 1929-09-04
D: 2017-11-29
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Swor, Kenneth
Norma McNeil
B: 1929-02-14
D: 2017-11-27
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McNeil, Norma
David Smith
B: 1949-01-31
D: 2017-11-25
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Smith, David
Avis Willis
B: 1927-09-04
D: 2017-11-24
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Willis, Avis
Robert Biggar
B: 1945-12-04
D: 2017-11-20
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Biggar, Robert
Irene Poindexter
B: 1924-08-10
D: 2017-11-13
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Poindexter, Irene
Edgar Lemon
D: 2017-10-19
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Lemon, Edgar
Connie Watters
B: 1958-06-19
D: 2017-10-04
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Watters, Connie
Donald Bray
B: 1931-10-20
D: 2017-10-03
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Bray, Donald
Glynn Beene
B: 1929-06-18
D: 2017-09-29
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Beene, Glynn
Roger Isham
B: 1947-07-01
D: 2017-08-25
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Isham, Roger
James Hargrove
B: 1952-02-23
D: 2017-08-22
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Hargrove, James
Jose Albiter
B: 1997-02-12
D: 2017-08-21
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Albiter, Jose
Ruth Stockton
B: 1926-06-21
D: 2017-08-15
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Stockton, Ruth
Coleta Taylor
B: 1935-01-27
D: 2017-08-15
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Taylor, Coleta

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
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 and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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