Obituaries

Sarah Owens
B: 1931-05-24
D: 2017-11-19
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Owens, Sarah
James Campbell
B: 1940-12-06
D: 2017-11-19
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Campbell, James
Billie Smith
B: 1944-08-15
D: 2017-11-18
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Smith, Billie
Kenneth Phillips
B: 1942-04-27
D: 2017-11-18
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Phillips, Kenneth
Margaret Stevens
B: 1922-10-01
D: 2017-11-18
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Stevens, Margaret
Robert "Bob" Lake
B: 1944-03-16
D: 2017-11-17
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Lake, Robert "Bob"
Albert Pitts
B: 1927-09-22
D: 2017-11-17
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Pitts, Albert
Leslie Snyder
B: 1960-02-02
D: 2017-11-10
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Snyder, Leslie
Elsie Marie Booth
B: 1947-08-16
D: 2017-11-04
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Booth, Elsie Marie
Barry Channell
B: 1963-11-11
D: 2017-11-04
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Channell, Barry
Leonard Sealy
B: 1959-12-30
D: 2017-11-03
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Sealy, Leonard
Helen Swanson Robinson
B: 1925-08-13
D: 2017-11-02
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Swanson Robinson, Helen
William Ware Watts
B: 1930-02-16
D: 2017-11-02
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Watts, William Ware
Christopher Summers
B: 1999-07-21
D: 2017-10-29
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Summers, Christopher
Barbara Roberts
B: 1936-04-15
D: 2017-10-23
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Roberts, Barbara
Matthew Magnuson
B: 1990-07-14
D: 2017-10-23
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Magnuson, Matthew
Ruth Swartz Algoe
B: 1944-07-24
D: 2017-10-22
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Swartz Algoe, Ruth
Earl Perry
B: 1928-07-27
D: 2017-10-21
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Perry, Earl
Essie Rouse
B: 1933-09-16
D: 2017-10-18
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Rouse, Essie
Betty Fondren
B: 1933-12-02
D: 2017-10-18
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Fondren, Betty
Richard Bailey
B: 1953-08-21
D: 2017-10-16
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Bailey, Richard

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Phone: 205-752-2005
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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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