Obituaries

Timothy Tulcus
B: 1965-12-21
D: 2020-12-28
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Tulcus, Timothy
Phyllis Edwards
B: 1954-02-25
D: 2020-12-26
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Edwards, Phyllis
Frank Cottle
B: 1945-12-26
D: 2020-12-26
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Cottle, Frank
Deletta Hannan
B: 1961-04-30
D: 2020-12-24
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Hannan, Deletta
Melvin Anderson
B: 1940-05-16
D: 2020-12-24
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Anderson, Melvin
Robert Brown
B: 1932-11-06
D: 2020-12-23
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Brown, Robert
Joe Long
B: 1936-04-08
D: 2020-12-13
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Long, Joe
Thomas Valadez
B: 1957-09-08
D: 2020-12-13
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Valadez, Thomas
Allen Nesbitt
B: 1949-05-18
D: 2020-12-03
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Nesbitt, Allen
Judy Duncan
B: 1956-05-15
D: 2020-11-30
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Duncan, Judy
Jimmy Wells
B: 1943-06-15
D: 2020-11-17
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Wells, Jimmy
Margaret Iverstine
B: 1943-04-21
D: 2020-11-14
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Iverstine, Margaret
Kadarrah Jones
B: 1998-06-12
D: 2020-11-13
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Jones, Kadarrah
Oliver Spratt
B: 1923-03-06
D: 2020-11-07
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Spratt, Oliver
Harmon Foster
B: 1943-03-13
D: 2020-10-30
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Foster, Harmon
Bobbie Slaughter
B: 1925-09-30
D: 2020-10-23
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Slaughter, Bobbie
Lewis Goins
B: 1955-10-14
D: 2020-10-18
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Goins, Lewis
Randy Burns
B: 1952-07-17
D: 2020-10-17
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Burns, Randy
Robert Rapp
B: 1942-05-15
D: 2020-10-07
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Rapp, Robert
Ronnie Patterson
B: 1944-12-15
D: 2020-10-01
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Patterson, Ronnie
Teddie Mann
B: 1950-08-08
D: 2020-09-27
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Mann, Teddie

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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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