Obituaries

Arthur Jenkins
B: 1943-03-31
D: 2018-10-14
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Jenkins, Arthur
Burneace Wilson
B: 1944-09-01
D: 2018-10-13
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Wilson, Burneace
James Buggs
D: 2018-10-10
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Buggs, James
Louise Jernigan
B: 1946-07-07
D: 2018-10-06
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Jernigan, Louise
Irvin Moore
B: 1937-04-16
D: 2018-10-05
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Moore, Irvin
Joseph Abdo
B: 1942-02-16
D: 2018-09-18
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Abdo, Joseph
Barbara Hall
B: 1948-09-01
D: 2018-09-14
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Hall, Barbara
Christian Pratt
B: 1993-05-29
D: 2018-09-12
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Pratt, Christian
William Lindsey
B: 1930-03-01
D: 2018-09-09
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Lindsey, William
Emma Thomas
B: 1937-10-02
D: 2018-09-08
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Thomas, Emma
Judith Bartlett
B: 1944-07-08
D: 2018-09-01
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Bartlett, Judith
Oscar Shaw
B: 1939-08-05
D: 2018-08-29
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Shaw, Oscar
Arthur Turner
B: 1937-10-15
D: 2018-08-28
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Turner, Arthur
Christopher Barnes
B: 1973-05-22
D: 2018-08-19
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Barnes, Christopher
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

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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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