Obituaries

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
Barbaraline Young
B: 1943-12-22
D: 2018-05-03
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Young, Barbaraline
JOSEF DUNCAN
D: 2018-05-03
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DUNCAN, JOSEF
JA'DON BANKS - YOUNG
B: 2013-12-01
D: 2018-05-02
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BANKS - YOUNG, JA'DON
Rose Monford
B: 1947-04-08
D: 2018-04-30
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Monford, Rose
DAQUAN SHROPSHIRE
B: 1992-04-28
D: 2018-04-29
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SHROPSHIRE, DAQUAN
Betty Offei
B: 1972-02-28
D: 2018-04-29
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Offei, Betty
Lucille Zeller
B: 1928-04-17
D: 2018-04-27
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Zeller, Lucille
Yvonne Stafford
B: 1935-06-21
D: 2018-04-26
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Stafford, Yvonne
CARLIS DAVIS
B: 1945-04-09
D: 2018-04-25
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DAVIS, CARLIS
MARTIN SMITH
B: 1951-10-08
D: 2018-04-23
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SMITH, MARTIN
ANTHONY BAUMAN
B: 1981-09-21
D: 2018-04-23
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BAUMAN, ANTHONY
CHARLES WOLFE
B: 1946-08-27
D: 2018-04-21
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WOLFE, CHARLES
Wedia Belk
B: 1923-11-04
D: 2018-04-20
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Belk, Wedia
Toya Alexander
B: 1967-05-03
D: 2018-04-17
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Alexander, Toya
CLARENCE CROY
B: 1936-02-15
D: 2018-04-13
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CROY, CLARENCE
TERRANCE LANG
B: 1975-10-19
D: 2018-04-12
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LANG, TERRANCE
Loretta Hillman
B: 1956-08-08
D: 2018-04-10
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Hillman, Loretta
RICHARD JONES
B: 1946-04-04
D: 2018-04-07
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JONES, RICHARD

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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:
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Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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