Obituaries

Ricky Hardin
B: 1960-01-26
D: 2019-09-14
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Hardin, Ricky
Robert Sisk
B: 1963-11-09
D: 2019-09-11
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Sisk, Robert
Nellie Batchler
B: 1928-02-26
D: 2019-09-10
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Batchler, Nellie
Delta Hulsey
B: 1945-01-26
D: 2019-09-05
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Hulsey, Delta
Minnie Elliott
B: 1970-01-31
D: 2019-09-05
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Elliott, Minnie
William Cook
B: 1938-02-17
D: 2019-09-04
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Cook, William
Ramona Ellison
B: 1962-06-01
D: 2019-09-03
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Ellison, Ramona
Christopher Hardin
B: 1957-02-21
D: 2019-08-29
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Hardin, Christopher
Debra Stevens
B: 1949-12-19
D: 2019-08-28
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Stevens, Debra
Ernest Trull
B: 1943-09-15
D: 2019-08-13
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Trull, Ernest
Cliff Estes
B: 1934-10-29
D: 2019-08-11
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Estes, Cliff
Walter Holden
B: 1969-09-01
D: 2019-08-11
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Holden, Walter
Immanuel Owensby
B: 1983-03-08
D: 2019-08-10
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Owensby, Immanuel
Wesley Smith
B: 1957-04-28
D: 2019-08-06
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Smith, Wesley
William Lemmons
B: 1959-02-06
D: 2019-08-05
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Lemmons, William
Jerry Hardin
B: 1946-04-10
D: 2019-08-04
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Hardin, Jerry
John Walker
B: 1973-12-26
D: 2019-07-29
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Walker, John
Valerie Cobb
B: 1930-12-29
D: 2019-07-28
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Cobb, Valerie
Betty Blanton
B: 1941-01-07
D: 2019-07-25
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Blanton, Betty
Michael Greene
B: 1947-10-14
D: 2019-07-24
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Greene, Michael
Virtie Blackwell
B: 1925-01-15
D: 2019-07-19
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Blackwell, Virtie

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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