Obituaries

Linda Multer
B: 1941-12-17
D: 2017-12-06
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Multer, Linda
Hazel Bevill
D: 2017-11-30
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Bevill, Hazel
Edmund Edwards
B: 1947-05-06
D: 2017-11-30
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Edwards, Edmund
Anna Autry
B: 1931-08-21
D: 2017-11-29
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Autry, Anna
Bettye Logan
B: 1934-09-25
D: 2017-11-12
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Logan, Bettye
Myra Parrish
B: 1924-12-05
D: 2017-11-01
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Parrish, Myra
Paul Sharpe
B: 1956-01-10
D: 2017-11-01
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Sharpe, Paul
Kathleen Davis
B: 1938-07-19
D: 2017-10-20
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Davis, Kathleen
Margaret Johnson
B: 1918-02-25
D: 2017-10-17
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Johnson, Margaret
Fredrick Hughes
B: 1939-12-21
D: 2017-10-15
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Hughes, Fredrick
Hanson Jenkins
B: 1932-03-05
D: 2017-09-21
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Jenkins, Hanson
Joseph Harrell
B: 1945-05-07
D: 2017-09-06
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Harrell, Joseph
Pauline Johnson
B: 1924-01-09
D: 2017-09-04
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Johnson, Pauline
Freddy McKay
B: 1939-01-04
D: 2017-09-04
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McKay, Freddy
Mary Johnson
B: 1940-09-05
D: 2017-08-28
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Johnson, Mary
James Cade
B: 1936-01-09
D: 2017-08-26
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Cade, James
Nan Sykes
B: 1948-01-03
D: 2017-08-25
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Sykes, Nan
Wilburn White
B: 1953-03-24
D: 2017-08-21
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White, Wilburn
Baby Price
B: 1954-02-09
D: 2017-08-10
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Price, Baby
George Chisolm
B: 1954-05-13
D: 2017-07-30
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Chisolm, George
William Carroll
B: 1938-09-19
D: 2017-07-26
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Carroll, William

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I. Biographical Information
Full Name:
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 You In Death            
Your 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:
         

Miscellaneous Notes and Instructions:

         

             

       

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