Obituaries

Melvin Farmer
B: 1936-02-16
D: 2022-05-05
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Farmer, Melvin
Douglas Ward
B: 1928-05-18
D: 2022-05-02
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Ward, Douglas
Christopal Ware
B: 1931-09-14
D: 2022-04-23
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Ware, Christopal
William Thweatt
D: 2022-04-19
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Thweatt, William
James Robertson
B: 1954-09-06
D: 2022-03-30
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Robertson, James
Martha Jordan
D: 2022-03-22
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Jordan, Martha
Walter Hathcock
B: 1951-09-04
D: 2022-03-03
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Hathcock, Walter
Angelia Keith
D: 2022-02-24
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Keith, Angelia
Judy Bledsoe
D: 2022-02-07
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Bledsoe, Judy
Sam Buck
D: 2022-02-05
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Buck, Sam
Sandy Wright
B: 1968-08-07
D: 2022-01-28
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Wright, Sandy
Fannie Siddon
B: 1938-06-13
D: 2022-01-22
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Siddon, Fannie
Sylvia Upchurch
B: 1941-05-15
D: 2022-01-20
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Upchurch, Sylvia
Sylvia Upchurch
B: 1941-05-15
D: 2022-01-20
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Upchurch, Sylvia
Betty Criswell
D: 2022-01-07
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Criswell, Betty
Thelma Martin
D: 2021-12-27
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Martin, Thelma
Sandra Cochran
B: 1957-04-02
D: 2021-12-27
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Cochran, Sandra
Betty Byrd
B: 1941-01-12
D: 2021-12-24
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Byrd, Betty
Annie Ferrell
D: 2021-12-07
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Ferrell, Annie
James Snell
D: 2021-11-29
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Snell, James
Elizebeth Edwards
D: 2021-11-28
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Edwards, Elizebeth

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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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