Obituaries

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
Robert McKissack
B: 1945-06-04
D: 2020-09-26
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McKissack, Robert
Wilma Wendelgass
B: 1946-05-26
D: 2020-09-20
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Wendelgass, Wilma
Laurie Abell
B: 1966-01-18
D: 2020-09-14
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Abell, Laurie
Lisa Young
B: 1965-03-30
D: 2020-09-12
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Young, Lisa
James Dunn
B: 1959-06-26
D: 2020-09-12
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Dunn, James
Jackie Rivers
B: 1938-01-23
D: 2020-09-09
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Rivers, Jackie
Olene Tyler
B: 1937-07-31
D: 2020-09-07
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Tyler, Olene
Linda Tiller
B: 1955-01-13
D: 2020-09-04
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Tiller, Linda
Lorenzo Igayac
B: 1944-12-30
D: 2020-08-25
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Igayac, Lorenzo
Louis Moreno
B: 1949-06-21
D: 2020-08-16
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Moreno, Louis
Rufus Barker
B: 1946-10-28
D: 2020-08-10
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Barker, Rufus
Adelia Kirk
B: 1950-06-14
D: 2020-08-08
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Kirk, Adelia
Maria Rodriguez
B: 1964-10-03
D: 2020-08-04
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Rodriguez, Maria
Janie Bonnell
B: 1951-08-21
D: 2020-07-29
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Bonnell, Janie
Stella Anderson
B: 1949-06-24
D: 2020-07-16
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Anderson, Stella

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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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