Obituaries

Virginia Russell
B: 1933-04-21
D: 2018-06-19
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Russell, Virginia
Patricia Walker
B: 1973-07-10
D: 2018-06-16
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Walker, Patricia
Marcia Stanton
B: 1958-07-28
D: 2018-06-14
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Stanton, Marcia
Loree Mays
B: 1922-06-21
D: 2018-06-14
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Mays, Loree
Willie Clayborne III
B: 1987-08-14
D: 2018-06-14
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Clayborne III, Willie
Joseph Phelps II
B: 1972-11-07
D: 2018-06-13
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Phelps II, Joseph
Bernard Neyland
B: 1959-01-22
D: 2018-06-13
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Neyland, Bernard
Margaret McNeal
B: 1938-03-31
D: 2018-06-10
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McNeal, Margaret
Barry Hite
B: 1952-02-14
D: 2018-06-08
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Hite, Barry
James Gordon
D: 2018-06-06
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Gordon, James
Leslye Townsend
B: 1990-02-09
D: 2018-06-06
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Townsend, Leslye
Tommy Woods
B: 1943-09-29
D: 2018-06-05
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Woods, Tommy
Sadari Knighten
B: 1989-10-29
D: 2018-06-05
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Knighten, Sadari
Veronica Cheers
B: 1937-01-30
D: 2018-06-03
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Cheers, Veronica
Delicia Johnson
B: 1995-01-23
D: 2018-06-02
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Johnson, Delicia
Donald Harris
B: 1943-12-30
D: 2018-06-01
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Harris, Donald
Betty Hicks
B: 1953-09-08
D: 2018-05-30
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Hicks, Betty
Marilyn Dale
B: 1942-06-20
D: 2018-05-30
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Dale, Marilyn
Kevin Smith
B: 1967-03-29
D: 2018-05-28
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Smith, Kevin
Sandra Scott
B: 1946-07-03
D: 2018-05-25
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Scott, Sandra
Mickiah Horn
B: 1978-03-25
D: 2018-05-21
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Horn, Mickiah

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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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