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Obituaries

Bobby Arledge
B: 1939-02-05
D: 2018-08-12
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Arledge, Bobby
Herbert White
B: 1928-10-03
D: 2018-08-12
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White, Herbert
Claude Locke
B: 1925-09-11
D: 2018-08-10
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Locke, Claude
Deanna Denney
B: 1941-10-29
D: 2018-08-09
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Denney, Deanna
Franklin "Del" Goodwin
B: 1933-05-11
D: 2018-08-08
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Goodwin, Franklin "Del"
Dave Adams
B: 1940-01-29
D: 2018-08-06
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Adams, Dave
Paula MacGregor
B: 1939-01-12
D: 2018-08-06
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MacGregor, Paula
Oliver Brown
B: 1942-06-17
D: 2018-08-06
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Brown, Oliver
Jean Tilly
B: 1946-08-04
D: 2018-08-05
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Tilly, Jean
Peter Dupre
B: 1934-05-02
D: 2018-08-04
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Dupre, Peter
Carolyn French
B: 1942-11-03
D: 2018-08-04
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French, Carolyn
John Jones
B: 1939-08-30
D: 2018-08-03
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Jones, John
James Howard
B: 1944-07-08
D: 2018-08-02
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Howard, James
Henry Tyska
B: 1947-08-04
D: 2018-08-02
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Tyska, Henry
Nancy Johnson
B: 1931-11-20
D: 2018-08-02
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Johnson, Nancy
Luis Gonzalez
B: 1935-11-03
D: 2018-08-01
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Gonzalez, Luis
Margarita Perez
B: 1939-03-01
D: 2018-08-01
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Perez, Margarita
Emma Story
B: 2016-07-15
D: 2018-08-01
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Story, Emma
Robert Woodard
B: 1938-01-11
D: 2018-07-29
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Woodard, Robert
Frances Downing
B: 1916-07-11
D: 2018-07-28
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Downing, Frances
Patricia Merritt
B: 1932-03-28
D: 2018-07-28
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Merritt, Patricia

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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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