Obituaries

Harold Wedgman
B: 1933-07-02
D: 2018-08-11
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Wedgman, Harold
Thomas Whitten
B: 1942-10-11
D: 2018-08-09
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Whitten, Thomas
Margaret Eddings
B: 1923-12-01
D: 2018-06-29
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Eddings, Margaret
Winda Bounds
B: 1929-11-24
D: 2018-06-17
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Bounds, Winda
Mittie Cobb
B: 1921-10-07
D: 2018-06-10
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Cobb, Mittie
Nellie Jones
B: 1925-02-17
D: 2018-05-31
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Jones, Nellie
Carroll McMahon
B: 1935-11-26
D: 2018-04-16
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McMahon, Carroll
Clifford Frost
B: 1923-10-15
D: 2018-03-29
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Frost, Clifford
David Wright
B: 1953-01-21
D: 2018-03-11
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Wright, David
Wesley Wallace
B: 1953-06-10
D: 2018-03-01
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Wallace, Wesley
Judith Horton
B: 1959-11-05
D: 2018-02-20
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Horton, Judith
Virginia Euler
B: 1928-06-24
D: 2018-02-16
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Euler, Virginia
Jesse Simmons
B: 1930-10-15
D: 2018-02-05
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Simmons, Jesse
Alan Boyd
B: 1960-09-28
D: 2018-01-29
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Boyd, Alan
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

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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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