Obituaries

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
Sallie Bardwell
B: 1942-03-18
D: 2019-01-22
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Bardwell, Sallie
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

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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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