Obituaries

Sussie Hudson
B: 1917-07-27
D: 2017-06-23
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Hudson, Sussie
Laura Coley
B: 1936-09-14
D: 2017-06-23
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Coley, Laura
Timothy Traynum
B: 1995-09-19
D: 2017-06-23
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Traynum, Timothy
Mabel Smith
B: 1935-11-15
D: 2017-06-22
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Smith, Mabel
Freddie Middlebrooks
B: 1960-09-11
D: 2017-06-21
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Middlebrooks, Freddie
Willie Williams
B: 1929-05-22
D: 2017-06-21
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Williams, Willie
Javan Davis
B: 1932-03-25
D: 2017-06-19
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Davis, Javan
Linda Jones
B: 1952-11-11
D: 2017-06-17
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Jones, Linda
Gloria Ransom
B: 1942-06-23
D: 2017-06-17
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Ransom, Gloria
Leola Jones
B: 1927-05-30
D: 2017-06-17
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Jones, Leola
Donna Simpson
B: 1949-01-30
D: 2017-06-17
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Simpson, Donna
Renzie Shelton, Jr.
B: 1962-02-15
D: 2017-06-16
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Shelton, Jr., Renzie
Clarence Pattin
B: 1971-08-10
D: 2017-06-16
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Pattin, Clarence
Anna Smith
B: 1944-05-02
D: 2017-06-15
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Smith, Anna
Bobbie Shell
B: 1952-03-01
D: 2017-06-14
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Shell, Bobbie
Karen Porter
B: 1960-12-31
D: 2017-06-13
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Porter, Karen
Maggie Venson
B: 1946-05-28
D: 2017-06-12
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Venson, Maggie
Doland Brown
B: 1932-04-13
D: 2017-06-12
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Brown, Doland
David Hampton
B: 1956-04-13
D: 2017-06-12
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Hampton, David
Shellton Hicks
B: 2000-07-01
D: 2017-06-11
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Hicks, Shellton
KiDon McCalebb
B: 1996-03-30
D: 2017-06-10
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McCalebb, KiDon

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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:

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