Obituaries

Randy Shelton
B: 1962-12-31
D: 2018-11-17
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Shelton, Randy
Johnny Mattingly
B: 1945-12-24
D: 2018-11-15
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Mattingly, Johnny
Dewey Dyer
B: 1917-07-13
D: 2018-11-15
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Dyer, Dewey
Elton Ford
B: 1957-01-29
D: 2018-11-07
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Ford, Elton
Kenneth Hayes
B: 1958-08-09
D: 2018-11-06
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Hayes, Kenneth
Mary Allen
B: 1927-03-03
D: 2018-10-27
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Allen, Mary
Beverly Beck
B: 1938-08-17
D: 2018-10-22
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Beck, Beverly
Jose Gonzalez
B: 1948-07-15
D: 2018-10-20
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Gonzalez, Jose
Joe Parolini
B: 1951-07-14
D: 2018-10-17
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Parolini, Joe
Millie Johnson
B: 1927-01-21
D: 2018-10-07
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Johnson, Millie
Charles Price
B: 1945-07-03
D: 2018-10-01
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Price, Charles
Michael Jenkins
B: 1953-11-20
D: 2018-09-30
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Jenkins, Michael
Billie Turner
B: 1975-05-20
D: 2018-09-25
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Turner, Billie
Evelyn Futch
B: 1926-03-19
D: 2018-09-20
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Futch, Evelyn
Billy Boyce
B: 1979-11-05
D: 2018-09-11
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Boyce, Billy
Timothy Gilbert
B: 1967-10-24
D: 2018-09-05
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Gilbert, Timothy
Linda Odom
B: 1954-09-10
D: 2018-08-25
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Odom, Linda
Judy Hendricks
B: 1951-06-17
D: 2018-08-19
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Hendricks, Judy
Castione Boyd
B: 1925-08-05
D: 2018-08-18
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Boyd, Castione
Valerie Lilly
B: 1929-09-08
D: 2018-08-17
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Lilly, Valerie
Emma Frizzell
B: 1929-02-15
D: 2018-08-14
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Frizzell, Emma

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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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