Obituaries

Robert Hudson
B: 1936-11-11
D: 2020-08-03
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Hudson, Robert
Jimmie Hill
B: 1936-09-03
D: 2020-07-28
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Hill, Jimmie
Bryan Heinrich
B: 1967-05-31
D: 2020-07-26
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Heinrich, Bryan
Harles Shiflett
B: 1944-09-06
D: 2020-07-24
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Shiflett, Harles
Katherine Stein
B: 1955-12-15
D: 2020-07-15
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Stein, Katherine
Dennis Mazzanti
B: 1940-05-09
D: 2020-07-14
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Mazzanti, Dennis
Christopher Newton
B: 1976-08-14
D: 2020-07-11
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Newton, Christopher
Raynaldo Nito
B: 1944-12-30
D: 2020-06-27
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Nito, Raynaldo
Daniel Gregory
B: 1943-02-10
D: 2020-06-18
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Gregory, Daniel
Patti Boggs
B: 1958-01-20
D: 2020-06-14
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Boggs, Patti
Neil Bristow
B: 1952-08-08
D: 2020-06-14
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Bristow, Neil
Rita McCormack
B: 1934-12-02
D: 2020-06-13
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McCormack, Rita
Sang Lee
B: 1971-09-15
D: 2020-06-13
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Lee, Sang
Franklin Smith
B: 1966-12-30
D: 2020-06-12
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Smith, Franklin
William Trace
B: 1973-05-07
D: 2020-06-10
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Trace, William
Harris Phillips
B: 1944-05-25
D: 2020-06-10
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Phillips, Harris
Senora Chandler
B: 1954-10-31
D: 2020-06-07
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Chandler, Senora
Kieron Jones
B: 1973-10-31
D: 2020-06-06
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Jones, Kieron
Ralph Culpeper
B: 1930-08-27
D: 2020-06-04
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Culpeper, Ralph
Brittany Owens
B: 1989-02-23
D: 2020-05-31
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Owens, Brittany
Amelia Barcarse
B: 1937-05-28
D: 2020-05-30
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Barcarse, Amelia

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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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