Obituaries

Jeanette Reeves-Page
B: 1930-09-10
D: 2018-07-14
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Reeves-Page, Jeanette
Robert Price
B: 1938-03-16
D: 2018-07-07
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Price, Robert
Edward Bender
B: 1924-05-13
D: 2018-07-07
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Bender, Edward
Timothy Latham
B: 1960-11-16
D: 2018-07-07
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Latham, Timothy
Ossie Burnett
B: 1944-07-26
D: 2018-07-03
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Burnett, Ossie
Kasana Best
B: 1944-04-10
D: 2018-06-29
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Best, Kasana
Doris Stuart
B: 1937-09-06
D: 2018-06-26
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Stuart, Doris
Solomon Harris
B: 1933-07-13
D: 2018-06-24
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Harris, Solomon
Halena Brown
B: 1950-08-30
D: 2018-06-22
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Brown, Halena
Melda Mitchell
B: 1951-09-20
D: 2018-06-16
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Mitchell, Melda
ROBERT TAYLOR
B: 1973-03-18
D: 2018-06-03
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TAYLOR, ROBERT
Cecelia Workman
B: 1940-02-09
D: 2018-05-31
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Workman, Cecelia
Christine Price
B: 1948-09-19
D: 2018-05-30
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Price, Christine
LaVerne Bryant - Harris
B: 1937-06-21
D: 2018-05-29
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Bryant - Harris, LaVerne
JAMES HECTOR
B: 1947-11-00
D: 2018-05-25
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HECTOR, JAMES
Lottie Goshay
B: 1950-06-27
D: 2018-05-24
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Goshay, Lottie
LARRY EMMONS
B: 1947-03-30
D: 2018-05-14
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EMMONS, LARRY
JOE CARTER
B: 1970-12-13
D: 2018-05-12
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CARTER, JOE
ROBERT PALMORE
B: 1949-01-18
D: 2018-05-07
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PALMORE, ROBERT
Roslyn Williams
B: 1967-11-26
D: 2018-05-07
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Williams, Roslyn
Barbaraline Young
B: 1943-12-22
D: 2018-05-03
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Young, Barbaraline

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Columbus, OH 43232
Phone: 614-338-1965
Fax: 614-338-4287

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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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