Obituaries

Daniel Massie
B: 1963-03-19
D: 2019-08-19
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Massie, Daniel
Magdalena Flores
B: 1936-04-11
D: 2019-08-09
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Flores, Magdalena
Susan Germinaro
B: 1952-09-16
D: 2019-07-27
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Germinaro, Susan
James Parker
B: 1942-06-08
D: 2019-07-23
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Parker, James
Randall Angel
B: 1981-04-24
D: 2019-07-22
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Angel, Randall
Elizabeth Gaddie
B: 1920-07-19
D: 2019-07-20
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Gaddie, Elizabeth
Shirley Glass
B: 1938-08-06
D: 2019-07-19
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Glass, Shirley
Michael Veirs
B: 1951-10-28
D: 2019-07-11
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Veirs, Michael
Robert Davis
B: 1934-10-07
D: 2019-07-09
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Davis, Robert
Barry Patrick
B: 1949-05-21
D: 2019-07-08
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Patrick, Barry
James Caudill
B: 1952-05-06
D: 2019-07-08
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Caudill, James
Steven Sturgill
B: 1960-11-08
D: 2019-07-07
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Sturgill, Steven
Emarene Bridges
B: 1918-01-01
D: 2019-07-06
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Bridges, Emarene
Angel Doss
B: 1959-01-27
D: 2019-07-06
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Doss, Angel
Ronnie Green
B: 1949-01-29
D: 2019-06-28
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Green, Ronnie
Helen Hinton
B: 1929-08-19
D: 2019-06-23
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Hinton, Helen
Lillian Sharon
B: 1928-11-01
D: 2019-06-20
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Sharon, Lillian
Clara Carter
B: 1961-04-22
D: 2019-06-19
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Carter, Clara
James Christian
B: 1944-12-08
D: 2019-06-18
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Christian, James
Clayton Hall
B: 1982-04-14
D: 2019-06-16
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Hall, Clayton
Vandel Gay
B: 1963-11-28
D: 2019-06-16
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Gay, Vandel

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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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