Obituaries

George Brubaker
B: 1944-02-27
D: 2019-08-16
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Brubaker, George
Barbara Cogle
B: 1960-06-12
D: 2019-08-13
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Cogle, Barbara
Billy Moores
B: 1923-12-31
D: 2019-08-12
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Moores, Billy
Barbara Clopein
B: 1946-11-12
D: 2019-08-12
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Clopein, Barbara
Richard McDaniel
B: 1950-12-25
D: 2019-08-11
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McDaniel, Richard
Larry Stamets
B: 1945-06-03
D: 2019-08-10
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Stamets, Larry
Joyce Brady
B: 1962-02-21
D: 2019-08-09
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Brady, Joyce
Brandon Tomblin
B: 1994-11-08
D: 2019-08-08
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Tomblin, Brandon
Luden Cole
B: 1930-12-07
D: 2019-08-07
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Cole, Luden
Nancy Warner
B: 1939-08-14
D: 2019-08-07
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Warner, Nancy
Michael Quinn
B: 1962-08-20
D: 2019-08-06
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Quinn, Michael
Heath Redman
B: 1976-07-07
D: 2019-08-05
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Redman, Heath
Trammell Alexander
B: 1947-09-07
D: 2019-08-04
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Alexander, Trammell
Leonard Viands
B: 1936-01-20
D: 2019-08-04
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Viands, Leonard
Charles Thompson, Jr.
B: 1942-10-26
D: 2019-08-03
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Thompson, Jr., Charles
Robert Wiley
B: 1952-07-10
D: 2019-08-03
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Wiley, Robert
Mary Hannigan
B: 1933-08-27
D: 2019-08-02
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Hannigan, Mary
William Evans
B: 1941-07-21
D: 2019-08-02
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Evans, William
Joshua Bowman
B: 1983-02-04
D: 2019-08-02
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Bowman, Joshua
Ethel Miller
B: 1929-01-09
D: 2019-07-30
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Miller, Ethel
Bryson Shipp
B: 2018-06-14
D: 2019-07-30
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Shipp, Bryson

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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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