Obituaries

Joey Smith
B: 1952-10-12
D: 2019-11-17
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Smith, Joey
Loretta Shaffer
B: 1935-09-02
D: 2019-11-16
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Shaffer, Loretta
Maybelle Sheppard
B: 1934-03-23
D: 2019-11-13
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Sheppard, Maybelle
James Courtney
B: 1972-03-20
D: 2019-11-10
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Courtney, James
Kathleen Peterson
B: 1931-04-26
D: 2019-11-10
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Peterson, Kathleen
Joe Hannon
B: 1924-08-26
D: 2019-11-08
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Hannon, Joe
Gladys Smith
B: 1932-08-04
D: 2019-11-04
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Smith, Gladys
Wanda Townsend
B: 1941-07-21
D: 2019-10-30
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Townsend, Wanda
Gloria Lanier
B: 1952-07-30
D: 2019-10-27
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Lanier, Gloria
Paul Hallo
B: 1959-03-31
D: 2019-10-26
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Hallo, Paul
Harlan Harris
B: 1961-05-11
D: 2019-10-21
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Harris, Harlan
Gene Wood
B: 1935-08-04
D: 2019-10-19
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Wood, Gene
Betty Martin
B: 1930-01-18
D: 2019-10-16
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Martin, Betty
Jerry Pennington
B: 1946-10-14
D: 2019-10-15
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Pennington, Jerry
Keith Martin
B: 1978-04-12
D: 2019-10-13
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Martin, Keith
Gerald Hardin
B: 1942-01-06
D: 2019-10-11
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Hardin, Gerald
Kimberly Spencer
B: 1987-02-14
D: 2019-10-10
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Spencer, Kimberly
Mildred Hardin
B: 1930-11-29
D: 2019-10-08
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Hardin, Mildred
David Bushnell
B: 1971-10-08
D: 2019-10-08
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Bushnell, David
Noah Humphries
B: 1954-11-26
D: 2019-10-04
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Humphries, Noah
Sheila Macri
B: 1957-11-16
D: 2019-10-03
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Macri, Sheila

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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