Obituaries

Patricia Rodgers
B: 1930-06-02
D: 2019-05-15
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Rodgers, Patricia
Rachel O'Kelley
B: 1928-05-28
D: 2019-05-06
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O'Kelley, Rachel
Jerry Hobson
B: 1951-05-22
D: 2019-05-02
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Hobson, Jerry
Billy Upchurch
B: 1933-05-15
D: 2019-04-26
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Upchurch, Billy
Clarice Lundy
B: 1933-02-16
D: 2019-04-17
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Lundy, Clarice
Justin Johnson
B: 1982-05-07
D: 2019-04-11
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Johnson, Justin
James Holley
B: 1945-10-09
D: 2019-04-09
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Holley, James
Clarence Byrd
B: 1955-05-16
D: 2019-03-31
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Byrd, Clarence
Sherry Abels
B: 1955-09-08
D: 2019-03-31
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Abels, Sherry
Milton Hoover
B: 1929-06-06
D: 2019-03-26
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Hoover, Milton
Maurine Shows
B: 1923-09-25
D: 2019-03-26
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Shows, Maurine
John Ellington
B: 1950-12-01
D: 2019-03-23
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Ellington, John
Joseph Spell
B: 1974-12-12
D: 2019-03-23
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Spell, Joseph
Clifton Mabry
B: 1933-01-03
D: 2019-03-21
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Mabry, Clifton
Horace Bouchillon
B: 1925-04-23
D: 2019-03-17
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Bouchillon, Horace
Burson Thomas
B: 2019-03-16
D: 2019-03-16
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Thomas, Burson
Virgie Murtagh
B: 1939-12-07
D: 2019-03-14
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Murtagh, Virgie
Charles Burrell
B: 1934-04-08
D: 2019-03-09
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Burrell, Charles
Edward Cobb
B: 1950-09-11
D: 2019-03-05
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Cobb, Edward
Janice Chisolm
B: 1936-05-06
D: 2019-02-15
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Chisolm, Janice
Douglas Lawson
B: 1942-08-17
D: 2019-02-03
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Lawson, Douglas

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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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