Obituaries

Richard Payne
B: 1950-08-25
D: 2019-01-12
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Payne, Richard
Bette Baker
B: 1928-06-11
D: 2019-01-10
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Baker, Bette
Socorro Adame
B: 1948-01-07
D: 2019-01-10
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Adame, Socorro
Robert Carriker
B: 1932-05-20
D: 2019-01-10
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Carriker, Robert
Rajrani Ramdin
B: 1925-08-10
D: 2019-01-09
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Ramdin, Rajrani
Peggy Furr
B: 1934-02-26
D: 2019-01-09
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Furr, Peggy
Donald Newsome
B: 1938-11-17
D: 2019-01-09
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Newsome, Donald
Frances Weant
B: 1923-11-28
D: 2019-01-08
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Weant, Frances
Marjorie Campbell
B: 1959-02-06
D: 2019-01-08
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Campbell, Marjorie
Jack Dayvault
B: 1930-09-29
D: 2019-01-07
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Dayvault, Jack
Chester Misenheimer
B: 1924-03-23
D: 2019-01-06
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Misenheimer, Chester
Nina Blackwelder
B: 1936-03-29
D: 2019-01-04
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Blackwelder, Nina
Frances McEachern
B: 1934-07-24
D: 2019-01-01
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McEachern, Frances
Walter Henderson
B: 1948-10-01
D: 2018-12-30
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Henderson, Walter
Carol Burnett
B: 1930-03-06
D: 2018-12-28
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Burnett, Carol
Guy Fisher
B: 1937-05-11
D: 2018-12-24
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Fisher, Guy
Frances Hartsell
B: 1933-11-25
D: 2018-12-23
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Hartsell, Frances
Charles Deal
B: 1943-09-19
D: 2018-12-23
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Deal, Charles
Phyllis Chance
B: 1923-06-17
D: 2018-12-21
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Chance, Phyllis
Lloyd "Dink" Jordan
B: 1936-05-23
D: 2018-12-19
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Jordan, Lloyd "Dink"
Daniel McMearty
B: 1940-10-31
D: 2018-12-19
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McMearty, Daniel

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

Obituaries & Tributes

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Pre-Arrangement

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Immediate Need

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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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