Obituaries

Janet Hagler
D: 2019-05-23
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Hagler, Janet
Nancy Craig
B: 1934-06-17
D: 2019-05-19
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Craig, Nancy
Charles Mills
B: 1949-06-06
D: 2019-05-19
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Mills, Charles
David Gould
B: 1932-05-24
D: 2019-05-13
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Gould, David
Shirley Garmon
B: 1926-02-10
D: 2019-05-12
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Garmon, Shirley
Kimberly Price
B: 1971-12-09
D: 2019-05-08
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Price, Kimberly
Phyllis Blackwelder
D: 2019-05-06
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Blackwelder, Phyllis
Jane DeSerio
B: 1947-11-25
D: 2019-05-03
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DeSerio, Jane
Sean Williard
B: 1971-03-20
D: 2019-05-03
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Williard, Sean
Nita Bunn
B: 1929-02-18
D: 2019-05-02
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Bunn, Nita
Shirley Black
B: 1936-04-08
D: 2019-04-30
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Black, Shirley
Robert Winter
B: 1928-12-28
D: 2019-04-29
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Winter, Robert
Robert "Bob" Carlson
B: 1939-01-26
D: 2019-04-28
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Carlson, Robert "Bob"
Betty Jean Beeker
B: 1929-12-09
D: 2019-04-27
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Beeker, Betty Jean
Marty Whitley
B: 1952-12-07
D: 2019-04-27
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Whitley, Marty
Miriam Caldwell
B: 1924-03-05
D: 2019-04-26
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Caldwell, Miriam
David Isaac
B: 1923-10-31
D: 2019-04-25
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Isaac, David
Paula Weeks
B: 1963-05-23
D: 2019-04-25
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Weeks, Paula
Michael Morris
B: 1943-10-11
D: 2019-04-23
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Morris, Michael
Charles Edwards
B: 1972-11-28
D: 2019-04-19
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Edwards, Charles
Mary Kent Weaver
B: 1962-09-29
D: 2019-04-18
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Weaver, Mary Kent

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100 Branchview Drive NE
PO Box 344
Concord, NC 28025
Phone: 704-786-3168
Fax: 704-782-5766

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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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