Obituaries

BETTY SADDLER
B: 1941-05-11
D: 2019-01-15
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SADDLER, BETTY
Clarence Laster
B: 1935-07-08
D: 2019-01-14
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Laster, Clarence
Bessie Bryles
B: 1914-07-09
D: 2019-01-14
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Bryles, Bessie
Bettie McClain
B: 1935-08-05
D: 2019-01-13
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McClain, Bettie
Harvey Mc Murray
D: 2019-01-10
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Mc Murray, Harvey
Richard Vaughns
B: 1947-04-30
D: 2019-01-05
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Vaughns, Richard
Dovey Hicks
B: 1949-09-28
D: 2018-12-27
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Hicks, Dovey
James Allen
B: 1959-08-28
D: 2018-12-18
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Allen, James
Ella Braddock
D: 2018-11-21
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Braddock, Ella
Arthur McIver
B: 1951-08-06
D: 2018-11-11
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McIver, Arthur
Charles Freeny
D: 2018-11-09
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Freeny, Charles
Willie Ewing
B: 1917-09-23
D: 2018-11-07
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Ewing, Willie
Patricia Valentine
B: 1947-10-27
D: 2018-10-31
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Valentine, Patricia
William Virgil
D: 2018-10-23
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Virgil, William
Sandra Brown
B: 1987-05-01
D: 2018-10-21
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Brown, Sandra
Arthur Jenkins
B: 1943-03-31
D: 2018-10-14
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Jenkins, Arthur
Burneace Wilson
B: 1944-09-01
D: 2018-10-13
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Wilson, Burneace
James Buggs
D: 2018-10-10
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Buggs, James
Louise Jernigan
B: 1946-07-07
D: 2018-10-06
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Jernigan, Louise
Irvin Moore
B: 1937-04-16
D: 2018-10-05
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Moore, Irvin
Joseph Abdo
B: 1942-02-16
D: 2018-09-18
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Abdo, Joseph

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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:

Miscellaneous Notes and Instructions:

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