Obituaries

Leon Files
B: 1928-03-05
D: 2018-12-09
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Files, Leon
Clarence Eaton
B: 1951-10-28
D: 2018-12-09
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Eaton, Clarence
Phyllis DeHaven
B: 1924-12-31
D: 2018-12-08
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DeHaven, Phyllis
Michael Grimm
B: 1942-08-25
D: 2018-12-08
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Grimm, Michael
Kimberly Arvin
B: 1958-12-26
D: 2018-12-07
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Arvin, Kimberly
Jeffrey Markley
B: 1959-10-12
D: 2018-12-06
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Markley, Jeffrey
Thomas Harman
B: 1964-09-06
D: 2018-12-06
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Harman, Thomas
William Walker
B: 1961-12-14
D: 2018-12-06
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Walker, William
Anthony Rideoutt
B: 1959-01-07
D: 2018-12-06
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Rideoutt, Anthony
Thomas Catlett
B: 1951-05-19
D: 2018-12-03
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Catlett, Thomas
Edmund Garner
B: 1934-03-14
D: 2018-12-02
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Garner, Edmund
Gwen Sigler
B: 1931-10-12
D: 2018-12-02
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Sigler, Gwen
Lewis Bailey
B: 1937-02-24
D: 2018-11-30
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Bailey, Lewis
Joan Harris
B: 1948-03-24
D: 2018-11-29
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Harris, Joan
Gregory Luke
B: 1948-11-27
D: 2018-11-29
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Luke, Gregory
Lacy Gillum
B: 1989-03-25
D: 2018-11-27
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Gillum, Lacy
Nancy Brown
B: 1926-03-15
D: 2018-11-26
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Brown, Nancy
Avanell Reel
B: 1922-07-07
D: 2018-11-25
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Reel, Avanell
Kenneth Silvius
B: 1974-03-29
D: 2018-11-25
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Silvius, Kenneth
Freddie Elliott
B: 1964-07-12
D: 2018-11-24
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Elliott, Freddie
Rodney Moore
B: 1971-09-20
D: 2018-11-24
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Moore, Rodney

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Phone: 304-263-8896
Fax: 304-263-9248

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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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