Obituaries

Steven Brumley
B: 1993-11-22
D: 2020-04-08
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Brumley, Steven
Johnny Pope
B: 1950-07-16
D: 2020-04-08
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Pope, Johnny
Mary Thornburgh
B: 1937-08-21
D: 2020-04-07
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Thornburgh, Mary
Dennis Bowman
B: 1945-12-14
D: 2020-04-03
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Bowman, Dennis
Dixie Luongo
B: 1923-02-04
D: 2020-03-29
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Luongo, Dixie
Keena Morgan
B: 1975-04-29
D: 2020-03-29
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Morgan, Keena
Matthew Harkins
B: 1978-05-11
D: 2020-03-28
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Harkins, Matthew
James Huneycutt
B: 1943-02-24
D: 2020-03-24
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Huneycutt, James
Tommy Lawrence
B: 1939-12-22
D: 2020-03-24
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Lawrence, Tommy
Linda Morgan
B: 1948-12-03
D: 2020-03-23
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Morgan, Linda
Robert Stedry
B: 1936-02-02
D: 2020-03-23
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Stedry, Robert
Russell Leonard
B: 1947-08-26
D: 2020-03-19
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Leonard, Russell
Julia Cerrito
B: 1950-12-20
D: 2020-03-18
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Cerrito, Julia
Myrtle West
B: 1931-03-21
D: 2020-03-17
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West, Myrtle
George Harris
B: 1933-10-24
D: 2020-03-17
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Harris, George
Virginia Hankins
B: 1943-06-04
D: 2020-03-15
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Hankins, Virginia
Lena McCann
B: 1941-07-15
D: 2020-03-15
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McCann, Lena
Carol Messimer
B: 1942-07-13
D: 2020-03-14
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Messimer, Carol
Frances Williams
B: 1956-02-22
D: 2020-03-14
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Williams, Frances
Sandra Myers
B: 1944-03-31
D: 2020-03-13
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Myers, Sandra
Edward Grimes
B: 1927-12-04
D: 2020-03-12
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Grimes, Edward

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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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