Obituaries

Dorothy York
B: 1935-12-30
D: 2019-07-08
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York, Dorothy
Sherry Evans
B: 1963-04-21
D: 2019-07-02
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Evans, Sherry
Auderay Payne
B: 1963-01-14
D: 2019-06-19
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Payne, Auderay
Jarvis Crocker
B: 1938-11-16
D: 2019-06-18
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Crocker, Jarvis
Paul Bourgeois
B: 1948-10-12
D: 2019-06-16
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Bourgeois, Paul
Henry Butler
B: 1943-07-17
D: 2019-06-13
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Butler, Henry
NEWELL JORDAN
B: 1926-09-03
D: 2019-06-10
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JORDAN, NEWELL
William Harris
B: 2000-05-17
D: 2019-06-10
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Harris, William
Carolyn Batson
B: 1957-09-14
D: 2019-06-09
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Batson, Carolyn
Ruby Baker
B: 1926-03-15
D: 2019-05-24
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Baker, Ruby
David Richardson
B: 1938-06-03
D: 2019-05-21
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Richardson, David
Steven Smith
B: 1954-08-20
D: 2019-05-19
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Smith, Steven
Jesus Cortez
D: 2019-05-18
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Cortez, Jesus
PAMELA STRONG
B: 1954-10-10
D: 2019-05-18
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STRONG, PAMELA
Timothy Lampley
B: 1964-06-16
D: 2019-05-17
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Lampley, Timothy
William Kroll
B: 1941-05-03
D: 2019-05-07
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Kroll, William
LeRoy Holt
B: 1934-02-06
D: 2019-05-07
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Holt, LeRoy
Raven Simmons
B: 1951-04-12
D: 2019-05-01
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Simmons, Raven
Oliver Sims
B: 1934-09-09
D: 2019-04-28
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Sims, Oliver
Alberta Mayfield
B: 1918-10-12
D: 2019-04-27
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Mayfield, Alberta
Gale Blankenship
B: 1948-11-12
D: 2019-04-23
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Blankenship, Gale

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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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