Obituaries

Juanita Dykes
B: 1929-07-29
D: 2019-06-15
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Dykes, Juanita
J.D. Wolverton
B: 1935-08-27
D: 2019-06-13
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Wolverton, J.D.
Jackie Spence
B: 1942-12-21
D: 2019-06-10
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Spence, Jackie
Frank Casteel
B: 1934-10-31
D: 2019-06-08
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Casteel, Frank
Melvin Sparks
B: 1940-12-26
D: 2019-06-07
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Sparks, Melvin
James Hazelwood
B: 1955-08-30
D: 2019-06-04
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Hazelwood, James
Patressa McCluskey
B: 1961-07-17
D: 2019-06-02
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McCluskey, Patressa
Silvia Hernandez Campuzano
B: 1974-04-10
D: 2019-06-01
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Hernandez Campuzano, Silvia
Mary Coker
B: 1936-09-09
D: 2019-06-01
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Coker, Mary
Darrell Schnitzius
B: 1934-05-23
D: 2019-05-30
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Schnitzius, Darrell
John Maples
B: 1941-11-23
D: 2019-05-30
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Maples, John
Ima Black
B: 1924-06-11
D: 2019-05-30
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Black, Ima
Billy Sparkman
B: 1935-01-03
D: 2019-05-27
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Sparkman, Billy
Pauline Brown
B: 1936-05-08
D: 2019-05-24
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Brown, Pauline
Chester Darby
B: 1928-04-11
D: 2019-05-23
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Darby, Chester
David Bass
B: 1952-08-15
D: 2019-05-21
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Bass, David
Dale Koslucher
B: 1947-01-30
D: 2019-05-16
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Koslucher, Dale
Janet Householder
B: 1961-01-20
D: 2019-05-13
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Householder, Janet
Ottis Tutor
B: 1934-10-09
D: 2019-05-10
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Tutor, Ottis
Joseph Browning
B: 1976-01-11
D: 2019-05-10
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Browning, Joseph
Martha Torres Regalado
B: 1975-10-25
D: 2019-05-01
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Torres Regalado, Martha

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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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