Obituaries

Randy Cole
B: 1950-10-18
D: 2018-05-17
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Cole, Randy
Rebecca Scheidt
B: 1979-03-19
D: 2018-05-10
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Scheidt, Rebecca
Betty Sanders
B: 1943-08-19
D: 2018-05-09
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Sanders, Betty
Martha Hardin
B: 1961-11-07
D: 2018-05-09
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Hardin, Martha
Gary Maynor
B: 1956-07-14
D: 2018-05-04
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Maynor, Gary
Sheena Stroupe
B: 1954-01-01
D: 2018-04-30
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Stroupe, Sheena
Lola Bell
B: 1944-01-31
D: 2018-04-21
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Bell, Lola
Robert Merritt
B: 1937-01-04
D: 2018-04-16
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Merritt, Robert
Marvin Wray
B: 1934-05-19
D: 2018-04-14
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Wray, Marvin
Jack Stephens
B: 1950-11-07
D: 2018-04-11
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Stephens, Jack
Ted Mahaffey
B: 1962-07-25
D: 2018-04-11
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Mahaffey, Ted
William Ramsey
B: 1925-08-11
D: 2018-04-06
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Ramsey, William
Harry Martin
B: 1933-12-23
D: 2018-04-03
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Martin, Harry
Claudia Sisk
B: 1972-07-26
D: 2018-04-03
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Sisk, Claudia
Alexis Church-Poole
B: 2018-04-03
D: 2018-04-03
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Church-Poole, Alexis
Evelene Hardin
B: 1937-08-04
D: 2018-03-30
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Hardin, Evelene
Melissa Heath
B: 1995-03-01
D: 2018-03-23
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Heath, Melissa
Richard Langley
B: 1988-12-15
D: 2018-03-21
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Langley, Richard
Scott Cole
B: 1978-10-20
D: 2018-03-18
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Cole, Scott
Charles Montgomery
B: 1953-08-30
D: 2018-03-14
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Montgomery, Charles
Usha Sandhu
B: 1944-12-05
D: 2018-03-11
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Sandhu, Usha

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400 West Cherokee St
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