Obituaries

Bobby Parsons
B: 1948-08-03
D: 2020-07-01
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Parsons, Bobby
Neta Mullins
B: 1940-06-24
D: 2020-06-13
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Mullins, Neta
Teresa Sanders
B: 1959-06-29
D: 2020-06-11
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Sanders, Teresa
Cecil Ming
B: 1945-02-23
D: 2020-06-02
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Ming, Cecil
Norma Dyer
B: 1941-11-21
D: 2020-06-01
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Dyer, Norma
Jeffrey Galavez
B: 1958-02-06
D: 2020-05-24
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Galavez, Jeffrey
Freida Cox
B: 1939-06-19
D: 2020-05-23
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Cox, Freida
Leland Berends
B: 1961-03-13
D: 2020-05-22
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Berends, Leland
Vernon Cooper
B: 1948-01-21
D: 2020-05-07
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Cooper, Vernon
David Watson
B: 1948-12-12
D: 2020-05-07
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Watson, David
Thurman Washington
B: 1959-01-05
D: 2020-05-04
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Washington, Thurman
Inf. Addie Pollard
D: 2020-04-30
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Pollard, Inf. Addie
Joe Hamilton
B: 1942-10-06
D: 2020-04-29
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Hamilton, Joe
Paulette Henderson
B: 1945-01-16
D: 2020-04-28
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Henderson, Paulette
David Randle
B: 1962-07-30
D: 2020-04-26
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Randle, David
Joana Hart
B: 1933-10-03
D: 2020-04-23
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Hart, Joana
James Walters
B: 1967-09-30
D: 2020-04-23
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Walters, James
Kirby Campbell
B: 1971-11-27
D: 2020-04-23
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Campbell, Kirby
Bernice Kirk
B: 1918-01-29
D: 2020-04-19
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Kirk, Bernice
Mary Nickelson
B: 1961-04-15
D: 2020-04-18
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Nickelson, Mary
Darrell Cunningham
B: 1952-06-17
D: 2020-04-17
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Cunningham, Darrell

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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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