Obituaries

Nancy Emhart
B: 1935-09-21
D: 2019-01-10
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Emhart, Nancy
James Brown
B: 1930-01-29
D: 2019-01-02
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Brown, James
William Norton
B: 1969-11-09
D: 2018-12-31
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Norton, William
Rev. Eddy Mattison (Courtesy)
D: 2018-12-10
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Mattison (Courtesy), Rev. Eddy
Lanier Burdette (Courtesy)
D: 2018-12-05
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Burdette (Courtesy), Lanier
George Boles
B: 1932-11-21
D: 2018-12-05
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Boles, George
Billie Cooper (Courtesy)
D: 2018-12-05
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Cooper (Courtesy), Billie
Martha Swofford
D: 2018-11-26
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Swofford, Martha
Dwight Mangrum
B: 1958-01-28
D: 2018-11-21
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Mangrum, Dwight
Robert Ravita
B: 1972-11-08
D: 2018-11-21
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Ravita, Robert
Barbara Boleman
B: 1954-11-14
D: 2018-11-20
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Boleman, Barbara
Jerry Hewell (Courtesy)
D: 2018-11-11
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Hewell (Courtesy), Jerry
Daniel Whitlow
D: 2018-11-09
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Whitlow, Daniel
Danny Risner
B: 1957-10-15
D: 2018-11-07
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Risner, Danny
Regina Smith
D: 2018-11-06
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Smith, Regina
Danny Carpenter
B: 1953-06-18
D: 2018-11-05
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Carpenter, Danny
Joel Ankerich (Courtesy)
D: 2018-11-05
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Ankerich (Courtesy), Joel
Betty Cartee
B: 1940-05-26
D: 2018-11-02
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Cartee, Betty
Frances Acker
B: 1927-11-01
D: 2018-11-01
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Acker, Frances
Tina Johnson
B: 1959-03-20
D: 2018-10-31
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Johnson, Tina
Rev. Leon Suttles (Courtesy)
D: 2018-10-30
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Suttles (Courtesy), Rev. Leon

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333 E Johnson St
Hartwell, GA 30643
Phone: 706-376-0050
Fax: 706-376-0049

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I. Biographical Information

Full Name:
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 You In Death
Your 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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