Obituaries

Gwendolyn Hyatt
B: 1924-05-24
D: 2020-06-26
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Hyatt, Gwendolyn
Robert Jones
B: 1954-02-09
D: 2020-06-25
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Jones, Robert
Charles Small
B: 1945-05-13
D: 2020-06-17
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Small, Charles
Jeffie Hamilton
B: 1929-04-05
D: 2020-06-15
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Hamilton, Jeffie
Helen Edwards
B: 1920-04-26
D: 2020-06-11
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Edwards, Helen
Clarence Carr
B: 1931-04-12
D: 2020-06-09
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Carr, Clarence
Bruce Allen
B: 1944-08-01
D: 2020-06-08
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Allen, Bruce
Cheryl Williams
B: 1944-08-08
D: 2020-06-08
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Williams, Cheryl
Robert McIver
B: 1938-10-07
D: 2020-06-04
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McIver, Robert
Julius Johnson
B: 1951-02-10
D: 2020-06-04
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Johnson, Julius
Tracey Swope-Hoskins
B: 1966-10-03
D: 2020-06-03
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Swope-Hoskins, Tracey
Madeline Porter-Taylor
B: 1972-05-21
D: 2020-05-28
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Porter-Taylor, Madeline
Henry Hammell
B: 1930-08-18
D: 2020-05-17
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Hammell, Henry
Clarence Parker
B: 1918-02-16
D: 2020-05-09
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Parker, Clarence
Abenicio Chavez
B: 1930-05-10
D: 2020-05-08
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Chavez, Abenicio
Hua Chen
B: 1938-07-27
D: 2020-05-08
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Chen, Hua
Donald Tillery
B: 1947-12-14
D: 2020-05-08
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Tillery, Donald
Jessica Doss
B: 1930-08-02
D: 2020-05-07
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Doss, Jessica
Charlotte Hurt
B: 1933-10-08
D: 2020-05-04
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Hurt, Charlotte
Doris Levy
B: 1940-10-14
D: 2020-05-02
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Levy, Doris
Diane Harrison
B: 1952-07-29
D: 2020-05-01
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Harrison, Diane

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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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