Obituaries

Wayne Rickman
B: 1957-11-22
D: 2018-11-15
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Rickman, Wayne
Luke Reed
B: 2018-10-03
D: 2018-11-06
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Reed, Luke
Sharon Farris
B: 1945-02-11
D: 2018-11-06
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Farris, Sharon
Dorothy Tyler
B: 1937-01-09
D: 2018-11-01
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Tyler, Dorothy
Johnny Daggett
B: 1946-08-27
D: 2018-10-27
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Daggett, Johnny
Marvin Darden
B: 1940-03-21
D: 2018-10-25
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Darden, Marvin
Ricky Taylor
B: 2005-07-25
D: 2018-10-24
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Taylor, Ricky
George "Bud" Schlater
B: 1939-09-23
D: 2018-10-21
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Schlater, George "Bud"
Larry Kimes
B: 1959-06-29
D: 2018-10-20
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Kimes, Larry
Arvel Gowen
D: 2018-10-19
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Gowen, Arvel
Debra Rayfield
B: 1963-01-14
D: 2018-10-16
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Rayfield, Debra
Martha Lewis
D: 2018-10-11
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Lewis, Martha
Louis Kimes
B: 1933-04-10
D: 2018-10-06
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Kimes, Louis
Carolinda Ragan
B: 1923-08-21
D: 2018-10-04
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Ragan, Carolinda
Lawrence Fererro
B: 1945-09-04
D: 2018-09-30
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Fererro, Lawrence
Larry Hughey
B: 1948-09-10
D: 2018-09-29
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Hughey, Larry
Myra Skipper
B: 1945-02-17
D: 2018-09-24
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Skipper, Myra
Mancie Henson
B: 1934-08-28
D: 2018-09-23
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Henson, Mancie
Donald Brown
B: 1930-03-09
D: 2018-09-22
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Brown, Donald
Dottie Collier
B: 1928-09-16
D: 2018-09-19
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Collier, Dottie
Charles Miller
B: 1957-05-19
D: 2018-09-14
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Miller, Charles

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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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