Obituaries

Vivian McNair
B: 1957-10-14
D: 2017-02-20
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McNair, Vivian
Rita Royster
B: 1964-02-05
D: 2017-02-17
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Royster, Rita
Maude Skeeter
B: 1920-02-04
D: 2017-02-16
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Skeeter, Maude
Wilhelmena Hayes
B: 1946-09-29
D: 2017-02-13
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Hayes, Wilhelmena
Katherine Jones
B: 1930-08-14
D: 2017-02-12
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Jones, Katherine
Gary Smith
B: 1946-02-05
D: 2017-02-10
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Smith, Gary
John Laws
B: 1926-12-22
D: 2017-02-07
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Laws, John
Dorothea Howard
B: 1917-05-07
D: 2017-02-05
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Howard, Dorothea
Louis Faison
B: 1920-04-08
D: 2017-02-01
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Faison, Louis
Samuel Epps
B: 1949-07-26
D: 2017-01-30
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Epps, Samuel
Virginia Poteat
B: 1937-05-21
D: 2017-01-29
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Poteat, Virginia
Delores Harrison
B: 1933-04-13
D: 2017-01-28
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Harrison, Delores
Joe Brown
B: 1957-01-28
D: 2017-01-27
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Brown, Joe
Betty Neeley
B: 1935-03-30
D: 2017-01-25
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Neeley, Betty
Lewis Williams
B: 1965-03-14
D: 2017-01-25
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Williams, Lewis
Dorothy Graves
B: 1941-06-16
D: 2017-01-23
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Graves, Dorothy
James Sharp
B: 1924-04-15
D: 2017-01-21
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Sharp, James
Samuel Simmons
B: 1934-01-03
D: 2017-01-20
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Simmons, Samuel
Florean Lawrence
B: 1917-04-13
D: 2017-01-16
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Lawrence, Florean
Lillie Cason
B: 1929-01-17
D: 2017-01-16
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Cason, Lillie
Maxwell Bempong
B: 1938-09-14
D: 2017-01-15
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Bempong, Maxwell

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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:
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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

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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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