Obituaries

Jean Gist
B: 1939-03-31
D: 2018-11-11
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Gist, Jean
Frank Gaston
B: 1953-11-27
D: 2018-11-11
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Gaston, Frank
Lillie Gaston
B: 1934-08-08
D: 2018-11-11
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Gaston, Lillie
Nathaniel "Pete" Snell
B: 1927-09-24
D: 2018-11-10
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Snell, Nathaniel "Pete"
Richard Woodson
B: 1945-06-28
D: 2018-11-09
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Woodson, Richard
Leo Hall
B: 2018-12-13
D: 2018-11-09
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Hall, Leo
Valerie Muthra
B: 1958-09-29
D: 2018-11-08
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Muthra, Valerie
Terrence Gary
B: 1975-10-30
D: 2018-11-08
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Gary, Terrence
Charlie Brown
B: 1944-10-01
D: 2018-11-06
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Brown, Charlie
Marcel Burnley
B: 1965-07-10
D: 2018-11-05
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Burnley, Marcel
Campbell Reasonover
B: 1951-10-27
D: 2018-11-04
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Reasonover, Campbell
Ida Chestnut
B: 1929-05-12
D: 2018-11-02
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Chestnut, Ida
Michael Bates
B: 1952-03-08
D: 2018-11-02
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Bates, Michael
Johnathan Shaw
B: 1970-09-04
D: 2018-10-31
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Shaw, Johnathan
Gary Cooper
B: 1955-08-01
D: 2018-10-31
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Cooper, Gary
Sandra Smith
B: 1949-11-08
D: 2018-10-31
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Smith, Sandra
Tavarez Smith
B: 1996-03-08
D: 2018-10-29
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Smith, Tavarez
Mae Richardson
B: 1951-09-03
D: 2018-10-27
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Richardson, Mae
Sheila Miller
B: 1957-05-11
D: 2018-10-25
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Miller, Sheila
Celeste Burgess
B: 1981-10-27
D: 2018-10-24
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Burgess, Celeste
Paula Pratt
B: 1958-04-27
D: 2018-10-24
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Pratt, Paula

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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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