Obituaries

Dorothy Scott
B: 1940-04-08
D: 2020-10-16
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Scott, Dorothy
Birdie Hunter
B: 1926-08-24
D: 2020-10-06
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Hunter, Birdie
Modesty Green
B: 1977-06-22
D: 2020-09-30
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Green, Modesty
Francina Thomas
B: 1927-05-13
D: 2020-09-28
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Thomas, Francina
Jessica Wynne
B: 2000-05-23
D: 2020-09-18
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Wynne, Jessica
Obed Sanchez
B: 1968-07-15
D: 2020-09-11
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Sanchez, Obed
Tyler Morgan
B: 1952-07-01
D: 2020-09-06
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Morgan, Tyler
Tyler Sewell
B: 1986-09-08
D: 2020-09-05
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Sewell, Tyler
Willie Patterson
B: 1941-09-22
D: 2020-08-29
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Patterson, Willie
Evelyn McGee
B: 1931-06-27
D: 2020-08-25
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McGee, Evelyn
Chiana Hunter
B: 1983-04-26
D: 2020-08-16
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Hunter, Chiana
Dustyn Gobler
D: 2020-08-13
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Gobler, Dustyn
Christine Reddix
B: 1951-01-12
D: 2020-08-12
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Reddix, Christine
Deborah Waters
B: 1958-01-20
D: 2020-08-12
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Waters, Deborah
David Laster
B: 1939-11-04
D: 2020-08-10
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Laster, David
Saddie Williams
B: 1948-03-30
D: 2020-08-09
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Williams, Saddie
Miquel Torres
B: 1921-09-29
D: 2020-08-08
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Torres, Miquel
Eddie Byrd
B: 1960-03-20
D: 2020-08-04
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Byrd, Eddie
Tom Williams
B: 1933-10-14
D: 2020-08-04
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Williams, Tom
Morine Carter
B: 1927-07-19
D: 2020-08-02
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Carter, Morine
Mary Smith
B: 1939-08-29
D: 2020-08-01
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Smith, Mary

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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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