Obituaries

ALBERT HAMILTON
B: 1940-04-03
D: 2018-09-18
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HAMILTON, ALBERT
RICHARD SULLIVAN
B: 1946-09-03
D: 2018-09-17
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SULLIVAN, RICHARD
Dorothy Williams
B: 1929-09-05
D: 2018-09-15
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Williams, Dorothy
DELENDO FRYAR
B: 1971-09-17
D: 2018-09-13
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FRYAR, DELENDO
Ruth Jones
B: 1935-09-13
D: 2018-09-10
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Jones, Ruth
Angela Willoughby
B: 1969-08-09
D: 2018-09-09
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Willoughby, Angela
Sandra Heckler
B: 1945-04-15
D: 2018-09-06
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Heckler, Sandra
Lorine Carter
B: 1927-11-12
D: 2018-09-03
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Carter, Lorine
Martha Byrd
B: 1938-05-10
D: 2018-09-02
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Byrd, Martha
Carolyn Davidson
B: 1949-02-02
D: 2018-09-02
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Davidson, Carolyn
JOE RUSSELL
B: 1939-12-19
D: 2018-09-01
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RUSSELL, JOE
PAUL HARDIN
B: 1947-04-07
D: 2018-08-25
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HARDIN, PAUL
ARTHUR LOCKE
B: 1951-04-02
D: 2018-08-22
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LOCKE, ARTHUR
ALONZO NESBITT
B: 1955-09-20
D: 2018-08-21
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NESBITT, ALONZO
Sharlean Walls
B: 1955-12-24
D: 2018-08-16
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Walls, Sharlean
Mary Howard
B: 1933-12-18
D: 2018-08-11
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Howard, Mary
Jeannette Perkins
B: 1937-11-17
D: 2018-08-09
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Perkins, Jeannette
Erika Thomas
B: 2018-04-08
D: 2018-08-09
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Thomas, Erika
Isabelle Williams
B: 1943-01-24
D: 2018-08-07
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Williams, Isabelle
Danielle Bennett
B: 1978-12-15
D: 2018-08-05
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Bennett, Danielle
Virginia Fields
B: 1934-12-21
D: 2018-07-27
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Fields, Virginia

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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:

Miscellaneous Notes and Instructions:

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