Obituaries

Mildred Powell
B: 1928-05-30
D: 2017-11-21
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Powell, Mildred
Roger Bowyer
B: 1944-02-25
D: 2017-11-20
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Bowyer, Roger
Joyce Bridgman
B: 1939-04-12
D: 2017-11-19
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Bridgman, Joyce
Ruth Schrum
B: 1927-05-18
D: 2017-11-19
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Schrum, Ruth
Alma Reekes
B: 1934-07-27
D: 2017-11-15
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Reekes, Alma
Robert Grandstaff
B: 1934-12-31
D: 2017-11-14
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Grandstaff, Robert
James Rice
B: 1970-08-05
D: 2017-11-11
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Rice, James
Thomas Hutson
B: 1940-04-18
D: 2017-11-10
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Hutson, Thomas
Marion Smith
D: 2017-11-09
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Smith, Marion
John Gormley
B: 1950-09-02
D: 2017-11-09
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Gormley, John
Agnes Jones
B: 1927-01-04
D: 2017-11-09
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Jones, Agnes
Betty Jane Blalock
B: 1938-09-07
D: 2017-11-09
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Blalock, Betty Jane
Frances Lang
B: 1930-02-03
D: 2017-11-08
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Lang, Frances
Matthew McMullen
B: 1985-04-23
D: 2017-11-08
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McMullen, Matthew
Norma Pulley
B: 1940-03-22
D: 2017-11-06
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Pulley, Norma
Carol Fenning
B: 1945-10-18
D: 2017-11-06
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Fenning, Carol
Brian Jolly
B: 1974-10-24
D: 2017-11-04
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Jolly, Brian
Joseph Perkins
B: 1924-11-22
D: 2017-11-03
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Perkins, Joseph
Marti Smith
B: 1968-04-10
D: 2017-11-02
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Smith, Marti
Jean Waymack
B: 1930-03-10
D: 2017-11-02
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Waymack, Jean
Jacqueline Crutchfield
B: 1966-01-26
D: 2017-11-01
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Crutchfield, Jacqueline

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I. Biographical Information

Full Name:
Address1:
Address2:
City Name:
State:
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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:        
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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 You In Death
Your Occupation:
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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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