Obituaries

Lauretta Holcomb
B: 1950-12-02
D: 2019-03-21
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Holcomb, Lauretta
Shonda Pennington
B: 1982-03-05
D: 2019-03-19
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Pennington, Shonda
Sidney Davidson
B: 1936-04-14
D: 2019-03-17
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Davidson, Sidney
Larry McAbee
B: 1963-04-15
D: 2019-03-16
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McAbee, Larry
Kent Lovelace
B: 1957-02-09
D: 2019-03-16
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Lovelace, Kent
Randy Sisk
B: 1952-07-01
D: 2019-03-13
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Sisk, Randy
Candes Gibson
B: 1929-05-15
D: 2019-03-11
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Gibson, Candes
Shirlee Brown
B: 1957-04-13
D: 2019-03-06
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Brown, Shirlee
Jackie Hammett
B: 1932-01-08
D: 2019-02-26
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Hammett, Jackie
Gerald Evans
D: 2019-02-26
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Evans, Gerald
Roy Bolin
B: 1952-04-28
D: 2019-02-25
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Bolin, Roy
Mary Waldrop
B: 1930-04-17
D: 2019-02-11
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Waldrop, Mary
Christopher Cobb
B: 1959-11-07
D: 2019-02-09
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Cobb, Christopher
Shirley Brown
B: 1936-07-12
D: 2019-02-06
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Brown, Shirley
Deborah Blanton
D: 2019-02-06
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Blanton, Deborah
Ruby Blackwell
D: 2019-02-05
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Blackwell, Ruby
Polly Peterson
B: 1944-08-14
D: 2019-02-04
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Peterson, Polly
Randy Wyatt
D: 2019-02-03
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Wyatt, Randy
Jessica Jones
B: 1994-04-26
D: 2019-02-01
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Jones, Jessica
Vece Dover
B: 1938-09-08
D: 2019-01-31
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Dover, Vece
Trenton Batchler
D: 2019-01-30
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Batchler, Trenton

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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