Obituaries

MILTON JOHNSON
B: 1939-04-03
D: 2017-05-17
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JOHNSON, MILTON
Esther Safford
B: 1922-04-18
D: 2017-05-09
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Safford, Esther
LOUIS SHARP
B: 1932-04-04
D: 2017-05-07
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SHARP, LOUIS
Daphne Jackson
B: 1963-08-24
D: 2017-05-06
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Jackson, Daphne
RICHARD WHITE
B: 1972-11-19
D: 2017-05-05
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WHITE, RICHARD
BILLY HOGAN
B: 1929-12-30
D: 2017-05-03
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HOGAN, BILLY
VICTOR WILLIS
B: 1954-12-20
D: 2017-05-02
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WILLIS, VICTOR
Chandra Bell
B: 1969-07-23
D: 2017-04-28
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Bell, Chandra
Essie Bowman
B: 1926-05-06
D: 2017-04-28
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Bowman, Essie
Tiffany White
B: 1978-02-05
D: 2017-04-28
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White, Tiffany
JUSTIN BERRYHILL
B: 1987-03-23
D: 2017-04-26
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BERRYHILL, JUSTIN
ELVREN TALLEY
B: 1934-10-02
D: 2017-04-24
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TALLEY, ELVREN
Naomi Ivory
B: 1926-03-04
D: 2017-04-24
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Ivory, Naomi
OLIVER WARD
B: 1938-12-16
D: 2017-04-21
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WARD, OLIVER
JAMES THOMAS
B: 1941-04-03
D: 2017-04-21
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THOMAS, JAMES
JOHN DICKSON
B: 1931-12-17
D: 2017-04-20
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DICKSON, JOHN
AARON CARROLL
B: 1949-01-27
D: 2017-04-18
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CARROLL, AARON
ONCHANH SOUVANHLY
B: 1947-10-20
D: 2017-04-16
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SOUVANHLY, ONCHANH
CHARLES MALONE
B: 1988-09-09
D: 2017-04-14
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MALONE, CHARLES
EDDIE WHITE
B: 1942-11-23
D: 2017-04-08
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WHITE, EDDIE
Kim Armstrong
B: 1960-06-25
D: 2017-04-07
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Armstrong, Kim

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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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