Obituaries

Ozelar Smith
B: 1924-02-20
D: 2019-08-15
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Smith, Ozelar
Kevin Napper
B: 1983-06-16
D: 2019-08-08
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Napper, Kevin
Janifer Barton
B: 1955-10-17
D: 2019-08-08
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Barton, Janifer
Meron Thompson
B: 1938-03-06
D: 2019-08-01
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Thompson, Meron
Bernadette Francois
B: 1931-04-11
D: 2019-07-31
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Francois, Bernadette
Joe Starks
B: 1943-02-06
D: 2019-07-27
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Starks, Joe
Marva Graham
B: 1969-08-06
D: 2019-07-25
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Graham, Marva
TC Barney
B: 1925-01-01
D: 2019-07-22
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Barney, TC
William Tate
B: 1964-03-09
D: 2019-07-21
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Tate, William
Maurice Reynolds
B: 1956-11-06
D: 2019-07-20
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Reynolds, Maurice
Dean Helgren
B: 1950-11-24
D: 2019-07-19
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Helgren, Dean
Damien Organ
B: 1979-11-17
D: 2019-07-18
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Organ, Damien
Andrew Williams
B: 1955-02-14
D: 2019-07-18
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Williams, Andrew
Joyce White
B: 1933-09-23
D: 2019-07-17
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White, Joyce
Verna Martin
B: 1948-04-26
D: 2019-07-12
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Martin, Verna
Ronald Harling
B: 1958-11-20
D: 2019-07-01
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Harling, Ronald
Carolyn Woody
B: 1948-07-20
D: 2019-06-26
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Woody, Carolyn
David Brock
B: 1942-11-30
D: 2019-06-25
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Brock, David
Carol Hunter
B: 1956-08-30
D: 2019-06-17
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Hunter, Carol
Terry Cogburn
B: 1963-01-13
D: 2019-06-07
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Cogburn, Terry
Julius Hunt
B: 1948-08-29
D: 2019-06-05
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Hunt, Julius

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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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