Obituaries

Carolyn Howard
D: 2018-06-22
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Howard, Carolyn
James Crews
B: 1956-05-19
D: 2018-06-18
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Crews, James
Guy Strickland
D: 2018-06-17
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Strickland, Guy
Wendell Evans
D: 2018-06-17
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Evans, Wendell
James Haile
B: 1947-11-01
D: 2018-06-17
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Haile, James
Auriol Hallford
D: 2018-06-16
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Hallford, Auriol
Janice Harris
B: 1958-02-26
D: 2018-06-16
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Harris, Janice
John Nease
B: 1963-07-16
D: 2018-06-15
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Nease, John
Jana Farris
B: 1941-08-02
D: 2018-06-14
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Farris, Jana
Charlotte Roach
B: 1960-10-03
D: 2018-06-13
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Roach, Charlotte
Richard Burger
B: 1951-07-19
D: 2018-06-13
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Burger, Richard
David Brown
B: 1960-12-05
D: 2018-06-11
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Brown, David
Lamar Bostic
B: 1948-12-05
D: 2018-06-10
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Bostic, Lamar
Roxy Dunn
B: 1946-01-27
D: 2018-06-10
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Dunn, Roxy
Christopher King
B: 1953-12-29
D: 2018-06-10
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King, Christopher
Lawrence Bruick
D: 2018-06-09
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Bruick, Lawrence
Ruth Bacon
B: 1919-07-14
D: 2018-06-07
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Bacon, Ruth
Lori Bruick
D: 2018-06-07
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Bruick, Lori
Thomas Mills
B: 1955-05-18
D: 2018-06-06
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Mills, Thomas
Charles Trimble
B: 1960-01-10
D: 2018-06-06
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Trimble, Charles
Carol Conklin
B: 1941-03-25
D: 2018-06-06
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Conklin, Carol

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I. Biographical Information

Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:
(xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
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Residence History:
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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 You In Death
Your Occupation:
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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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