Obituaries

William Hathcock
B: 1941-04-21
D: 2019-01-19
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Hathcock, William
Michael Shows
B: 1951-08-27
D: 2019-01-18
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Shows, Michael
Johnnie Davis
B: 1925-08-22
D: 2018-12-13
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Davis, Johnnie
Frank Jones
B: 1934-12-18
D: 2018-12-08
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Jones, Frank
George Kincaid
B: 1933-03-06
D: 2018-12-06
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Kincaid, George
George Wynne
B: 1936-08-28
D: 2018-12-03
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Wynne, George
Gary Lane
B: 1946-12-25
D: 2018-11-30
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Lane, Gary
B. Tackitt
B: 1934-05-17
D: 2018-11-26
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Tackitt, B.
Willye Anton
B: 1940-06-05
D: 2018-11-26
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Anton, Willye
Willye Anton
B: 1940-06-05
D: 2018-11-26
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Anton, Willye
Willye Anton
B: 1940-06-05
D: 2018-11-26
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Anton, Willye
William Russell
B: 1932-02-21
D: 2018-11-25
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Russell, William
Joan Ellis
B: 1953-09-19
D: 2018-11-23
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Ellis, Joan
Dorothy Simmons
B: 1938-08-01
D: 2018-11-19
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Simmons, Dorothy
Edith Green
B: 1937-04-09
D: 2018-11-16
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Green, Edith
Elizabeth Bohmeyer
B: 1940-09-20
D: 2018-11-14
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Bohmeyer, Elizabeth
Marion Johnson
B: 1924-03-05
D: 2018-11-14
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Johnson, Marion
Thomas Gantt
B: 1938-09-01
D: 2018-11-01
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Gantt, Thomas
Henry Russell
B: 1933-07-20
D: 2018-10-31
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Russell, Henry
Michael Patton
B: 1956-10-24
D: 2018-10-29
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Patton, Michael
Helen Haffey
B: 1923-05-05
D: 2018-10-24
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Haffey, Helen

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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:
         

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