Obituaries

LaVerda Willoughby
B: 1931-11-28
D: 2019-02-20
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Willoughby, LaVerda
Willie Allison
B: 1959-12-17
D: 2019-02-19
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Allison, Willie
Daryl Lee
B: 1970-06-18
D: 2019-02-19
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Lee, Daryl
Alfonzo Coleman
B: 1965-08-03
D: 2019-02-19
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Coleman, Alfonzo
Ora Jones
B: 1947-09-12
D: 2019-02-18
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Jones, Ora
Melinda Scott
B: 1972-01-11
D: 2019-02-18
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Scott, Melinda
Juanita Smith
B: 1938-08-06
D: 2019-02-17
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Smith, Juanita
Stanley Burt
B: 1950-07-26
D: 2019-02-17
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Burt, Stanley
Clarence Strong
B: 1930-05-01
D: 2019-02-16
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Strong, Clarence
Rose Williams
B: 1962-12-03
D: 2019-02-13
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Williams, Rose
Dorothea Quinn
B: 1939-01-05
D: 2019-02-11
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Quinn, Dorothea
Angela Hill
B: 1964-01-31
D: 2019-02-10
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Hill, Angela
Keith McDonald
B: 1956-11-08
D: 2019-02-09
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McDonald, Keith
Regina Young
B: 1957-03-13
D: 2019-02-09
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Young, Regina
Darius Johnson
B: 2019-02-08
D: 2019-02-08
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Johnson, Darius
Joseph Parnell
B: 1976-03-26
D: 2019-02-07
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Parnell, Joseph
Nathaniel Brown
B: 1964-11-27
D: 2019-02-06
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Brown, Nathaniel
Jair Hartfield
B: 2019-02-04
D: 2019-02-04
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Hartfield, Jair
Kathy Williams
B: 1954-01-15
D: 2019-02-02
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Williams, Kathy
Julian McNeal
B: 1961-03-12
D: 2019-01-31
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McNeal, Julian
Vincent Washington
B: 1963-10-29
D: 2019-01-31
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Washington, Vincent

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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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