Obituaries

Ronald Barboza
B: 1942-09-28
D: 2017-12-11
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Barboza, Ronald
Paulina Hernandez
B: 1928-06-22
D: 2017-12-08
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Hernandez, Paulina
Jean Smith
B: 1953-06-05
D: 2017-12-07
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Smith, Jean
Donald McAlpin
B: 1934-01-25
D: 2017-12-04
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McAlpin, Donald
Susie Mikell
B: 1940-09-15
D: 2017-12-04
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Mikell, Susie
Antonio Davis
B: 2012-07-05
D: 2017-12-03
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Davis, Antonio
Mary Molett
B: 1943-07-06
D: 2017-12-02
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Molett, Mary
Mary Brown
B: 1949-08-30
D: 2017-12-01
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Brown, Mary
Alfred Wilfong
B: 1945-04-05
D: 2017-12-01
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Wilfong, Alfred
Jeanette Carr
B: 1937-11-28
D: 2017-12-00
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Carr, Jeanette
Annie Taylor
B: 1938-10-08
D: 2017-11-30
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Taylor, Annie
James Moore
B: 1933-09-22
D: 2017-11-26
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Moore, James
Albert Wallace
B: 1942-11-24
D: 2017-11-18
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Wallace, Albert
Arnold Tillman
B: 1932-08-14
D: 2017-11-17
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Tillman, Arnold
Elizabeth Mosley
B: 1949-10-29
D: 2017-11-12
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Mosley, Elizabeth
Katherine Watson
B: 1932-05-04
D: 2017-11-12
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Watson, Katherine
Birdie Crosby
D: 2017-11-10
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Crosby, Birdie
Marian Davis Rogers
B: 1945-03-24
D: 2017-11-10
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Davis Rogers, Marian
John Costello
B: 1957-05-23
D: 2017-11-06
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Costello, John
Rose Rodgers
B: 1950-11-08
D: 2017-10-31
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Rodgers, Rose
HOLLAND WILLIAMS
B: 1941-12-23
D: 2017-10-29
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WILLIAMS, HOLLAND

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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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Please place my information on file


 

 

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