Obituaries

Bill Saye (Courtesy)
D: 2019-09-09
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Saye (Courtesy), Bill
Kathy Elrod
B: 1957-05-07
D: 2019-09-07
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Elrod, Kathy
Robert Duda
B: 1939-09-09
D: 2019-09-05
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Duda, Robert
Larry Heaton
B: 1943-02-26
D: 2019-08-31
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Heaton, Larry
Mary Drye
B: 1965-01-25
D: 2019-08-10
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Drye, Mary
John Rice
B: 1927-08-07
D: 2019-08-03
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Rice, John
Linda Shiflet
B: 1939-02-17
D: 2019-07-25
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Shiflet, Linda
Michael Brown
B: 1960-11-27
D: 2019-07-24
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Brown, Michael
Leonard Bennett
D: 2019-07-21
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Bennett, Leonard
Frances Martin
B: 1932-04-08
D: 2019-06-18
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Martin, Frances
Morgan Wilson
B: 2000-11-22
D: 2019-06-16
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Wilson, Morgan
Nicki Meyer
B: 1955-10-11
D: 2019-06-13
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Meyer, Nicki
Walter McGee (Courtesy)
D: 2019-06-09
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McGee (Courtesy), Walter
Alice Woodward
B: 1932-11-15
D: 2019-05-28
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Woodward, Alice
Donal Tapp
B: 1945-06-25
D: 2019-05-26
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Tapp, Donal
Cruz Arceo
B: 1959-05-03
D: 2019-05-22
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Arceo, Cruz
Vera Mae Mays
D: 2019-05-19
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Mays, Vera Mae
James Nelms
B: 1930-10-30
D: 2019-05-07
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Nelms, James
William Floyd
B: 1938-01-24
D: 2019-05-04
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Floyd, William
Martha Wells (Courtesy)
D: 2019-05-03
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Wells (Courtesy), Martha
Mary Jean Wilson
B: 1951-02-05
D: 2019-04-30
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Wilson, Mary Jean

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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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