Obituaries

Sharon Hueston
B: 1944-04-11
D: 2017-04-20
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Hueston, Sharon
Lorean Eiland
B: 1930-04-07
D: 2017-04-17
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Eiland, Lorean
Darnell Lucas
B: 1979-07-22
D: 2017-04-15
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Lucas, Darnell
Pastor Bernice Martin
B: 1941-03-08
D: 2017-04-14
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Martin, Pastor Bernice
George Scott
B: 1943-08-02
D: 2017-04-12
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Scott, George
Alice Clark
B: 1951-05-30
D: 2017-04-12
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Clark, Alice
James Lyons
B: 1953-02-22
D: 2017-04-12
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Lyons, James
Anna Johnson
B: 1932-06-06
D: 2017-04-09
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Johnson, Anna
David Wysinger
B: 1961-12-08
D: 2017-04-08
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Wysinger, David
Earline Thomas
B: 1945-04-19
D: 2017-04-08
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Thomas, Earline
Bill Earl White
B: 1953-09-11
D: 2017-04-06
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White, Bill Earl
Sherry Kight
B: 1949-02-13
D: 2017-04-03
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Kight, Sherry
Cleveland Peavy
B: 1945-05-04
D: 2017-04-03
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Peavy, Cleveland
Rocksan Thompson
D: 2017-04-03
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Thompson, Rocksan
Trevon Bradley
B: 1997-08-26
D: 2017-03-31
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Bradley, Trevon
Jacob Gayle
B: 1954-08-01
D: 2017-03-28
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Gayle, Jacob
Sarah Marshall
B: 1946-01-05
D: 2017-03-28
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Marshall, Sarah
Marguerite Barry
B: 1936-11-06
D: 2017-03-27
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Barry, Marguerite
Joel Brown
B: 1988-02-20
D: 2017-03-26
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Brown, Joel
Lee Carter
B: 1950-07-03
D: 2017-03-25
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Carter, Lee
Esther Garth
B: 1918-10-25
D: 2017-03-24
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Garth, Esther

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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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