Obituaries

Mary Miles
B: 1931-12-01
D: 2017-05-22
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Miles, Mary
James West
B: 1943-11-02
D: 2017-05-21
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West, James
Glenn Davis
B: 1950-10-25
D: 2017-05-18
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Davis, Glenn
Betty West
B: 1942-03-16
D: 2017-05-09
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West, Betty
Beverly Pennington
B: 1950-09-04
D: 2017-05-06
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Pennington, Beverly
Mallie Purvis
B: 1934-07-17
D: 2017-05-05
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Purvis, Mallie
Wilfredo Vitug
B: 1941-06-12
D: 2017-05-03
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Vitug, Wilfredo
James Lafoe
B: 1943-03-18
D: 2017-05-02
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Lafoe, James
Carol Dean
B: 1952-04-20
D: 2017-04-28
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Dean, Carol
J.D. Hill
B: 1979-06-06
D: 2017-04-26
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Hill, J.D.
Ryan Whalen
B: 1977-09-24
D: 2017-04-25
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Whalen, Ryan
Frances Moore
B: 1920-07-19
D: 2017-04-22
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Moore, Frances
Jacqueline Taylor
B: 1951-10-12
D: 2017-04-20
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Taylor, Jacqueline
William Rawlings
B: 1990-09-14
D: 2017-04-19
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Rawlings, William
Nancy Breeze
B: 1945-12-06
D: 2017-04-18
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Breeze, Nancy
Wanda Day
B: 1950-09-03
D: 2017-04-17
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Day, Wanda
Judith Thompson
B: 1943-03-25
D: 2017-04-16
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Thompson, Judith
John Tackett
B: 1929-04-13
D: 2017-04-14
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Tackett , John
Haskell Buffin
B: 1949-04-25
D: 2017-04-14
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Buffin, Haskell
Sharon Doxey
B: 1948-02-08
D: 2017-04-13
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Doxey, Sharon
Judy McConnell
B: 1947-10-06
D: 2017-04-10
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McConnell, Judy

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I. Biographical Information
 
Full Name:
Date of Death:
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 In Death
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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