Obituaries

Earnestine Vaughn
B: 1924-06-01
D: 2018-08-16
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Vaughn, Earnestine
William Gallerson
B: 1933-04-15
D: 2018-08-13
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Gallerson, William
Mary Mills
B: 1919-09-14
D: 2018-07-29
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Mills, Mary
Herman Davis, M.D.
B: 1926-03-12
D: 2018-07-28
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Davis, M.D., Herman
Richard Becktell
B: 1931-09-21
D: 2018-07-17
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Becktell, Richard
Dalasini Braddock-Clark
B: 1969-12-31
D: 2018-07-17
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Braddock-Clark, Dalasini
Georgia Mc Swain
B: 1931-05-15
D: 2018-07-16
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Mc Swain, Georgia
Esther Thomaseec
B: 1937-03-28
D: 2018-07-16
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Thomaseec, Esther
Julia Durr
B: 1915-04-26
D: 2018-07-12
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Durr, Julia
Sheila Ferguson
B: 1940-02-03
D: 2018-07-09
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Ferguson, Sheila
Darren Snowden
B: 1960-12-16
D: 2018-07-09
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Snowden, Darren
Priscilla Young
B: 1951-04-18
D: 2018-07-08
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Young, Priscilla
Trini Holmes
B: 1947-03-11
D: 2018-07-05
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Holmes, Trini
Lydia Howard
B: 1957-04-10
D: 2018-07-04
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Howard, Lydia
Martha Williams
B: 1945-10-06
D: 2018-06-30
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Williams, Martha
MARY BURNETT
B: 1939-01-05
D: 2018-06-29
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BURNETT, MARY
JACQUELINE JAMERSON
B: 1956-12-27
D: 2018-06-23
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JAMERSON, JACQUELINE
ROSIE LEE
B: 1946-11-06
D: 2018-06-21
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LEE, ROSIE
Ella Pine
B: 1948-04-18
D: 2018-06-19
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Pine, Ella
Odie Mangram
B: 1930-07-11
D: 2018-06-15
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Mangram, Odie
Dana Davis
B: 1929-10-16
D: 2018-06-13
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Davis, Dana

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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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