Obituaries

Floyd Robinson
B: 1949-01-04
D: 2019-11-09
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Robinson, Floyd
Sue Childers
B: 1948-05-17
D: 2019-11-09
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Childers, Sue
John Mayes
B: 1940-02-14
D: 2019-11-07
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Mayes, John
Debbie Floyd
B: 1959-09-14
D: 2019-11-06
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Floyd, Debbie
Jerry Harper
B: 1942-09-01
D: 2019-11-05
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Harper, Jerry
Manuel Fernandez
B: 1940-07-19
D: 2019-11-03
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Fernandez, Manuel
Frankie Washington
B: 1928-09-05
D: 2019-10-26
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Washington, Frankie
Joe Benivamondez
B: 1970-03-02
D: 2019-10-26
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Benivamondez, Joe
Todd Warlick
B: 1961-08-07
D: 2019-10-24
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Warlick, Todd
Florentino Vasquez
B: 1950-02-06
D: 2019-10-23
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Vasquez, Florentino
Gladys Grabowski
B: 1936-04-01
D: 2019-10-21
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Grabowski, Gladys
Devante Smith
B: 1995-12-15
D: 2019-10-21
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Smith, Devante
George Thompson
B: 1943-09-12
D: 2019-10-19
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Thompson, George
Tonya Kirk
B: 1957-06-15
D: 2019-10-18
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Kirk, Tonya
Jackie Warmsley
B: 1926-07-16
D: 2019-10-16
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Warmsley, Jackie
LaVerne Williams
B: 1940-03-23
D: 2019-10-14
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Williams, LaVerne
Irene Davis
B: 1951-05-09
D: 2019-10-13
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Davis, Irene
Tommy Graham
B: 1944-02-06
D: 2019-10-10
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Graham, Tommy
Tommie Prather
B: 1943-08-08
D: 2019-10-10
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Prather, Tommie
Timothy Bland
B: 1986-08-03
D: 2019-10-09
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Bland, Timothy
Debbie Pedersen
B: 1960-02-22
D: 2019-10-08
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Pedersen, Debbie

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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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