Obituaries

Wallace Wilkins
B: 1936-04-11
D: 2017-06-11
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Wilkins, Wallace
Mary Outlaw
B: 1931-07-30
D: 2017-06-10
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Outlaw, Mary
Touissant Cheatham
B: 1926-05-25
D: 2017-06-09
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Cheatham, Touissant
Patricia Clanton
B: 1960-12-21
D: 2017-06-07
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Clanton, Patricia
Eddie Robinson
B: 1966-08-23
D: 2017-06-05
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Robinson, Eddie
John Woods
B: 1935-07-27
D: 2017-06-02
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Woods, John
Clarence Sessoms
B: 1923-06-05
D: 2017-05-28
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Sessoms, Clarence
Reginald Whidbee
B: 1955-11-03
D: 2017-05-27
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Whidbee, Reginald
Frances Johnson
B: 1928-08-04
D: 2017-05-27
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Johnson, Frances
Khyree Jones
B: 2009-02-28
D: 2017-05-27
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Jones, Khyree
Barbara Sivells
B: 1940-01-20
D: 2017-05-26
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Sivells, Barbara
Robnett McCullar
B: 1948-04-13
D: 2017-05-21
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McCullar, Robnett
Raymond Smith
B: 1967-03-16
D: 2017-05-16
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Smith, Raymond
Denise Smith
B: 1960-03-01
D: 2017-05-15
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Smith, Denise
Augmontine Davis
B: 1951-12-21
D: 2017-05-13
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Davis, Augmontine
Doris Spruill
B: 1919-10-20
D: 2017-05-13
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Spruill, Doris
Bonita Carter
B: 1961-01-12
D: 2017-05-08
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Carter, Bonita
Amanda James
B: 1962-02-04
D: 2017-05-06
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James, Amanda
Celestine Cason
B: 1925-12-03
D: 2017-05-06
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Cason, Celestine
Darryl Jackson
B: 1958-08-11
D: 2017-05-04
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Jackson, Darryl
Wilbert James
B: 1931-02-22
D: 2017-05-01
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James, Wilbert

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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)
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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 In Death
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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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