Obituaries

Dannie Young
B: 1938-02-25
D: 2017-05-22
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Young, Dannie
Freddie Coleman
B: 1950-11-27
D: 2017-05-22
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Coleman, Freddie
Milton Baker
B: 1942-06-07
D: 2017-05-18
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Baker, Milton
Timothy Young
B: 1966-09-09
D: 2017-05-18
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Young, Timothy
Shirley Oliver
B: 1950-03-20
D: 2017-05-18
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Oliver, Shirley
Khadijah Shukri
B: 1932-06-02
D: 2017-05-15
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Shukri, Khadijah
Walter Wren
B: 1952-11-15
D: 2017-05-15
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Wren, Walter
Mildred Smith
B: 1950-09-27
D: 2017-05-14
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Smith, Mildred
Sylvester Jackson
B: 1936-01-18
D: 2017-05-14
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Jackson, Sylvester
Ida Davis
B: 1938-05-31
D: 2017-05-12
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Davis, Ida
Vivian Bourn
B: 1927-06-25
D: 2017-05-12
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Bourn, Vivian
Raishaun Wiliams
B: 1982-09-19
D: 2017-05-12
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Wiliams, Raishaun
Benison Clark
B: 1951-04-02
D: 2017-05-10
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Clark, Benison
James Sutton
B: 1939-12-21
D: 2017-05-09
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Sutton, James
Winfred Fails
B: 1935-11-27
D: 2017-05-07
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Fails, Winfred
William Holmes
B: 1948-12-27
D: 2017-05-05
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Holmes, William
Bertha Cowson-Cunningham
B: 1946-06-25
D: 2017-05-04
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Cowson-Cunningham, Bertha
Albert Shuler
B: 1946-09-07
D: 2017-05-03
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Shuler, Albert
Benjamin McNeil
B: 1923-08-26
D: 2017-05-03
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McNeil, Benjamin
Annette Matthews
B: 1956-11-24
D: 2017-04-28
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Matthews, Annette
Rosa Roberts
B: 1924-10-07
D: 2017-04-27
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Roberts, Rosa

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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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