Obituaries

Curtis Hite
B: 1935-12-17
D: 2019-09-16
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Hite, Curtis
Norma McDonald
B: 1933-08-10
D: 2019-09-15
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McDonald, Norma
Patricia Bivons
B: 1937-10-17
D: 2019-09-14
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Bivons, Patricia
Wayne Whitmore
B: 1929-02-26
D: 2019-09-13
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Whitmore, Wayne
Linda Nichols
B: 1948-12-03
D: 2019-09-11
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Nichols, Linda
Thomas Snow
B: 1939-09-07
D: 2019-09-11
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Snow, Thomas
Jean Dignazio
B: 1932-03-04
D: 2019-09-11
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Dignazio, Jean
James Brady
B: 1931-04-19
D: 2019-09-10
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Brady, James
Susan Becker
B: 1946-08-14
D: 2019-09-10
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Becker, Susan
Everett Caton
B: 1943-09-09
D: 2019-09-09
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Caton, Everett
James Chapman
B: 1936-10-22
D: 2019-09-08
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Chapman, James
Edward Hogbin
B: 1943-04-28
D: 2019-09-08
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Hogbin, Edward
Randy Castleberry
B: 1955-11-01
D: 2019-09-08
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Castleberry, Randy
Richard Grimm
B: 1943-02-07
D: 2019-09-06
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Grimm, Richard
David Smallwood
B: 1949-08-24
D: 2019-09-05
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Smallwood, David
Cheryl Thomas
B: 1945-09-19
D: 2019-09-05
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Thomas, Cheryl
Thomas Stunkle
B: 1925-12-18
D: 2019-09-05
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Stunkle, Thomas
Christie Gaynor
B: 1991-08-26
D: 2019-09-05
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Gaynor, Christie
Abid Ali
B: 1954-12-25
D: 2019-09-04
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Ali, Abid
Charles "Mink" Reed, Jr.
B: 1942-08-13
D: 2019-09-02
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Reed, Jr., Charles "Mink"
Earl Simpson
B: 1929-07-02
D: 2019-09-02
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Simpson, Earl

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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:

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