Obituaries

Tammie Dozier
B: 1959-08-07
D: 2017-07-24
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Dozier, Tammie
Darryl Anderson
B: 1981-11-13
D: 2017-07-20
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Anderson, Darryl
Audrey McLean
B: 1930-05-27
D: 2017-07-17
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McLean, Audrey
Lisa Handy
B: 1960-11-13
D: 2017-07-16
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Handy, Lisa
Clossie Cox
B: 1926-01-25
D: 2017-07-16
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Cox, Clossie
Burnice Lynch
B: 1944-03-29
D: 2017-07-15
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Lynch, Burnice
Barbara Melvin
B: 1941-12-12
D: 2017-07-13
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Melvin, Barbara
Joseph Nottage
B: 1935-06-21
D: 2017-07-12
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Nottage, Joseph
Hosea Wilkerson
B: 1937-09-15
D: 2017-07-11
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Wilkerson, Hosea
Malvis Taborn
B: 1924-02-11
D: 2017-07-09
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Taborn, Malvis
John Mayo
B: 1923-09-03
D: 2017-07-08
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Mayo, John
Allen Brown
B: 1937-12-08
D: 2017-07-07
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Brown, Allen
John Hamilton
B: 1948-12-11
D: 2017-07-05
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Hamilton, John
Maurice Jordan
B: 1924-03-13
D: 2017-07-04
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Jordan, Maurice
John Johnson
B: 1960-03-10
D: 2017-07-03
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Johnson, John
Michael Skinner
B: 1954-06-15
D: 2017-07-03
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Skinner, Michael
Geraldine Thompson
B: 1927-05-22
D: 2017-07-01
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Thompson, Geraldine
Angela Brooks
B: 1964-09-01
D: 2017-06-28
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Brooks, Angela
Deborah Barrington
B: 1955-06-08
D: 2017-06-27
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Barrington, Deborah
Eric Rogers
B: 1969-10-10
D: 2017-06-24
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Rogers, Eric
Milita Hodge
B: 1962-04-17
D: 2017-06-24
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Hodge, Milita

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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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