Obituaries

Lizzie Guy
B: 1912-10-31
D: 2017-07-19
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Guy, Lizzie
Annie Ransey
B: 1928-02-14
D: 2017-07-19
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Ransey, Annie
Wiley Lambert
B: 1935-05-26
D: 2017-07-17
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Lambert, Wiley
Carlton Baucom
B: 1961-09-12
D: 2017-07-16
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Baucom, Carlton
Roshell Butler
B: 1976-03-18
D: 2017-07-10
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Butler, Roshell
Angela Woodson
B: 1962-03-29
D: 2017-07-09
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Woodson, Angela
Robert Hobson
B: 1949-03-26
D: 2017-07-08
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Hobson, Robert
Clevie Oliver
B: 1929-03-21
D: 2017-07-04
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Oliver, Clevie
Richard Morgan
B: 1980-05-15
D: 2017-07-03
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Morgan, Richard
Hubert Moss
B: 1945-06-15
D: 2017-07-02
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Moss, Hubert
Devereaux Kynard
B: 1990-02-13
D: 2017-07-02
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Kynard, Devereaux
Hazel Cole
B: 1929-03-19
D: 2017-07-01
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Cole, Hazel
William Gainey
B: 1958-02-07
D: 2017-07-01
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Gainey, William
Clara Waters
B: 1928-09-10
D: 2017-06-29
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Waters, Clara
LeAndrea Baker
B: 1981-08-28
D: 2017-06-28
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Baker, LeAndrea
Michael Gary
B: 1959-10-25
D: 2017-06-28
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Gary, Michael
Lula Singletary
B: 1940-09-21
D: 2017-06-26
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Singletary, Lula
Robert Johnson
B: 1950-09-26
D: 2017-06-24
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Johnson, Robert
Susie Hudson
B: 1917-07-27
D: 2017-06-23
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Hudson, Susie
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

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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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