Obituaries

James McVay
B: 1937-04-18
D: 2017-06-28
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McVay, James
Virginia Holley
D: 2017-06-26
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Holley, Virginia
John Lafferty
B: 1942-08-21
D: 2017-06-25
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Lafferty, John
Georgia Ann Boyd
B: 1942-04-20
D: 2017-06-25
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Boyd, Georgia Ann
Carl Smith
B: 1944-02-24
D: 2017-06-25
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Smith, Carl
Jack Gailey
B: 1923-03-10
D: 2017-06-22
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Gailey, Jack
Carol Rawdon
B: 1939-08-04
D: 2017-06-20
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Rawdon, Carol
Bonnie Brown
B: 1935-03-29
D: 2017-06-20
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Brown, Bonnie
Lee Wise
B: 1970-08-24
D: 2017-06-19
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Wise, Lee
Sabrina Walker
B: 1967-03-11
D: 2017-06-18
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Walker, Sabrina
Carolyn Carney
B: 1937-11-26
D: 2017-06-14
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Carney, Carolyn
Fern McBee
B: 1926-05-12
D: 2017-06-12
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McBee, Fern
Delana Barker
B: 1974-07-05
D: 2017-06-10
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Barker, Delana
Shirley Cork
B: 1937-01-28
D: 2017-06-10
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Cork, Shirley
Blanche Brooks
B: 1920-02-22
D: 2017-06-09
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Brooks, Blanche
Bonnie Brumley
B: 1930-10-12
D: 2017-06-09
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Brumley, Bonnie
Sara Craddock
B: 1922-08-04
D: 2017-06-09
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Craddock, Sara
Annie Barber
B: 1925-01-30
D: 2017-06-07
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Barber, Annie
Marvin Williams
B: 1953-10-19
D: 2017-06-03
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Williams, Marvin
Douglas Fournier
B: 1924-10-09
D: 2017-06-01
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Fournier, Douglas
Jenny Bunn
B: 1929-07-22
D: 2017-05-31
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Bunn, Jenny

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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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