Obituaries

Doyle Peterson
B: 1945-01-07
D: 2018-11-16
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Peterson, Doyle
Billy Upchurch
B: 1952-08-11
D: 2018-11-16
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Upchurch, Billy
John Manning
B: 1989-04-04
D: 2018-11-14
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Manning, John
Kevin Holcomb
B: 1981-05-13
D: 2018-11-13
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Holcomb, Kevin
Thelma Langston
B: 1964-11-02
D: 2018-11-13
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Langston, Thelma
Stephane Clifford
B: 1947-06-11
D: 2018-11-13
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Clifford, Stephane
Pamela Blackwell
B: 1950-07-08
D: 2018-11-09
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Blackwell, Pamela
Curtis Martin
B: 1933-11-04
D: 2018-11-06
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Martin, Curtis
Patrick Estes
B: 1963-11-17
D: 2018-11-05
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Estes, Patrick
Susan Bolin
B: 1954-04-22
D: 2018-10-30
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Bolin, Susan
Linda Hodge
B: 1955-01-03
D: 2018-10-29
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Hodge, Linda
Ned Cooksey
B: 1940-07-14
D: 2018-10-29
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Cooksey, Ned
Tony Hawkins
D: 2018-10-26
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Hawkins, Tony
Shirley Goode
D: 2018-10-18
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Goode, Shirley
Artie Carroll
B: 1941-06-09
D: 2018-10-18
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Carroll, Artie
Elmore Stroup
B: 1944-08-21
D: 2018-10-17
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Stroup, Elmore
Pauline Wilburn
B: 1921-04-13
D: 2018-10-17
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Wilburn, Pauline
Marie White
D: 2018-10-16
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White, Marie
Thomas Blackwell
B: 1947-09-14
D: 2018-10-15
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Blackwell, Thomas
Modenia Reynolds
B: 1923-09-23
D: 2018-10-09
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Reynolds, Modenia
Linda Dover
B: 1947-08-27
D: 2018-10-05
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Dover, Linda

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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