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Obituaries

Charles Mackenzie
B: 1938-05-19
D: 2018-05-22
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Mackenzie, Charles
Willie Crosby
B: 1937-08-11
D: 2018-05-21
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Crosby, Willie
Miriam Silvia
B: 1930-09-13
D: 2018-05-21
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Silvia, Miriam
Leon Tyler
B: 1954-02-06
D: 2018-05-20
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Tyler, Leon
Judge John Booth
B: 1924-01-13
D: 2018-05-20
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Booth, Judge John
Charles Cornell
B: 1922-09-22
D: 2018-05-20
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Cornell, Charles
James Cook
D: 2018-05-20
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Cook, James
Norma Barrows
B: 1924-08-14
D: 2018-05-18
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Barrows, Norma
Michael Pelley
B: 1951-02-14
D: 2018-05-16
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Pelley, Michael
Marvin Fussell
B: 1927-06-08
D: 2018-05-16
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Fussell, Marvin
Ronnie Weatherman
B: 1947-10-28
D: 2018-05-16
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Weatherman, Ronnie
Paul Cheseborough
B: 1931-12-17
D: 2018-05-15
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Cheseborough, Paul
Eva Mansell
B: 1942-04-24
D: 2018-05-15
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Mansell, Eva
James "Jim" Sims, Sr.
B: 1926-01-18
D: 2018-05-15
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Sims, Sr., James "Jim"
Priscilla Locke
B: 1942-01-10
D: 2018-05-14
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Locke, Priscilla
James Glover
B: 1950-09-18
D: 2018-05-13
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Glover, James
Gerald Campoli
B: 1954-05-05
D: 2018-05-12
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Campoli, Gerald
James Grogan
B: 1925-06-20
D: 2018-05-12
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Grogan, James
Josephine Austin
B: 1938-10-02
D: 2018-05-12
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Austin, Josephine
Edward Dickhausen
B: 1934-04-24
D: 2018-05-11
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Dickhausen, Edward
William Cannon
B: 1927-10-15
D: 2018-05-10
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Cannon, William

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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:
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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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