Obituaries

James Worthington
B: 1966-10-17
D: 2019-06-09
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Worthington, James
Jeffrey Davidson
B: 1962-01-20
D: 2019-06-05
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Davidson, Jeffrey
Raymond Poe
B: 1927-01-28
D: 2019-06-04
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Poe, Raymond
James Vance
B: 1932-04-03
D: 2019-06-03
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Vance, James
Jeremy West
B: 1978-07-15
D: 2019-06-03
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West, Jeremy
Eddie Tedder
B: 1944-01-16
D: 2019-05-30
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Tedder, Eddie
Peter Seagriff
B: 1943-10-21
D: 2019-05-28
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Seagriff, Peter
Roger Jackson
B: 1933-05-11
D: 2019-05-28
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Jackson, Roger
Tony Deaton
B: 1935-01-07
D: 2019-05-26
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Deaton, Tony
Peggy Dewes
B: 1941-02-26
D: 2019-05-23
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Dewes, Peggy
Jackie Fite
B: 1957-02-23
D: 2019-05-20
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Fite, Jackie
Brandon Morrison, Jr
B: 2012-10-15
D: 2019-05-19
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Morrison, Jr, Brandon
Tyler Daniels
B: 1999-02-07
D: 2019-05-19
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Daniels, Tyler
Elijah Osborn-Smith
B: 2019-05-15
D: 2019-05-15
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Osborn-Smith, Elijah
Mark Adams
B: 1951-11-17
D: 2019-05-10
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Adams, Mark
Larry Lawrence
B: 1951-11-01
D: 2019-05-02
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Lawrence, Larry
Lanny Farris
B: 1950-02-08
D: 2019-05-02
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Farris, Lanny
John Ray
B: 1957-04-26
D: 2019-05-01
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Ray, John
Paul Vonderhaar
B: 1972-02-11
D: 2019-04-30
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Vonderhaar, Paul
Charles Thornton
B: 1935-07-24
D: 2019-04-27
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Thornton, Charles
Buford Reynolds
B: 1944-11-21
D: 2019-04-24
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Reynolds, Buford

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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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