Obituaries

Thelma Moore
B: 1941-03-16
D: 2017-10-18
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Moore, Thelma
Hattie Mullinax
B: 1928-09-08
D: 2017-10-13
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Mullinax, Hattie
James Gibson
B: 1939-05-16
D: 2017-10-13
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Gibson, James
Elizabeth Peterson
B: 1947-01-05
D: 2017-10-12
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Peterson, Elizabeth
Samuel Hambright
B: 1922-07-26
D: 2017-10-11
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Hambright, Samuel
Bernice Patterson
B: 1919-02-28
D: 2017-10-10
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Patterson, Bernice
George Tadlock
B: 1954-12-25
D: 2017-10-07
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Tadlock, George
Martha Goodson
B: 1932-10-21
D: 2017-10-06
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Goodson, Martha
Vickie Childers
B: 1961-07-05
D: 2017-09-30
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Childers, Vickie
Elizabeth Lefevers
B: 1940-03-19
D: 2017-09-27
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Lefevers, Elizabeth
Connie Simpson
B: 1959-04-25
D: 2017-09-25
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Simpson, Connie
Wayne Hunt
B: 1948-06-30
D: 2017-09-22
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Hunt, Wayne
John Crook
B: 1925-02-23
D: 2017-09-18
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Crook, John
John Peterson
B: 1959-07-25
D: 2017-09-15
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Peterson, John
Sammy Poole
B: 1961-10-14
D: 2017-09-15
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Poole, Sammy
Joe Bell
B: 1935-03-08
D: 2017-09-05
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Bell, Joe
Edna Stroup
B: 1936-09-22
D: 2017-09-05
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Stroup, Edna
Beverly Camp
B: 1939-04-10
D: 2017-09-04
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Camp, Beverly
Mary McNeill
B: 1956-03-07
D: 2017-08-25
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McNeill, Mary
Richard Henderson
B: 1953-12-29
D: 2017-08-25
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Henderson, Richard
Herbert Thornton
B: 1937-03-27
D: 2017-08-20
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Thornton, Herbert

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Post Office Box 428
Blacksburg, SC 29702
Phone: 864-839-2334
Fax: 864-839-2335

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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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Please place my information on file