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Obituaries

Marie McPhail
B: 1939-10-03
D: 2021-01-14
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McPhail, Marie
Jack Bryant
B: 1934-11-03
D: 2021-01-14
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Bryant, Jack
Everett Swain
B: 1925-09-02
D: 2021-01-13
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Swain, Everett
Douglas Honeycutt
B: 1954-10-09
D: 2021-01-13
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Honeycutt, Douglas
Jerry Leonard
B: 1953-08-01
D: 2021-01-13
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Leonard, Jerry
Eloise Veal
B: 1930-03-20
D: 2021-01-12
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Veal, Eloise
Melissa Johnston-Stauffer
B: 1970-01-13
D: 2021-01-11
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Johnston-Stauffer, Melissa
Bonnie Moniscalco
B: 1940-07-07
D: 2021-01-11
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Moniscalco, Bonnie
Kathleen Nuzzo
B: 1939-05-29
D: 2021-01-11
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Nuzzo, Kathleen
Don Ward
B: 1945-03-20
D: 2021-01-11
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Ward, Don
Mary Holsaple
B: 1937-07-13
D: 2021-01-11
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Holsaple, Mary
Joann Scifres
B: 1931-03-26
D: 2021-01-10
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Scifres, Joann
Arbutus Blount
B: 1922-12-20
D: 2021-01-09
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Blount, Arbutus
Dorothy Merritt
B: 1940-01-14
D: 2021-01-09
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Merritt, Dorothy
William Banta
B: 1944-12-13
D: 2021-01-09
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Banta, William
Rachel Gilmore
B: 1928-04-23
D: 2021-01-08
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Gilmore, Rachel
Karlheinz Umbach
B: 1944-10-18
D: 2021-01-08
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Umbach, Karlheinz
Eric Puryear
B: 1947-02-08
D: 2021-01-08
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Puryear, Eric
Robert Graves
B: 1933-10-01
D: 2021-01-08
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Graves, Robert
Jimmy Owens
B: 1952-01-22
D: 2021-01-07
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Owens, Jimmy
Dorothy Williams
B: 1948-06-28
D: 2021-01-07
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Williams, Dorothy

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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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