Obituaries

William McKee
B: 1928-01-27
D: 2017-04-23
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McKee, William
Adrienne Jaco
B: 1971-05-12
D: 2017-04-21
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Jaco, Adrienne
Jimmy Layton
B: 1942-08-27
D: 2017-04-21
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Layton, Jimmy
Nancy West
B: 1930-03-09
D: 2017-04-20
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West, Nancy
Robert Brooks
B: 1938-03-19
D: 2017-04-18
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Brooks, Robert
Adelaide Bonds
B: 1927-08-03
D: 2017-04-11
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Bonds, Adelaide
Joseph Chin
B: 1936-04-20
D: 2017-04-10
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Chin, Joseph
Margaret Hardin
B: 1922-12-26
D: 2017-04-09
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Hardin, Margaret
Nancy Kearns
B: 1934-09-03
D: 2017-04-05
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Kearns, Nancy
Susan Hunter
B: 1940-11-22
D: 2017-04-05
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Hunter, Susan
Cecil Medlin
B: 1927-02-13
D: 2017-04-01
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Medlin, Cecil
Joseph Bartolomeo
B: 1950-02-10
D: 2017-04-01
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Bartolomeo, Joseph
Brenda Smith
B: 1942-11-21
D: 2017-04-01
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Smith, Brenda
Patricia Allmon
B: 1966-07-16
D: 2017-03-31
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Allmon, Patricia
Kermit Tucker
B: 1943-09-07
D: 2017-03-29
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Tucker, Kermit
Louise Murray
B: 1931-08-21
D: 2017-03-25
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Murray, Louise
Monnie Causby
B: 1912-01-23
D: 2017-03-22
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Causby, Monnie
Nancy Walter
B: 1950-12-20
D: 2017-03-21
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Walter, Nancy
Walter Zolna
B: 1942-09-01
D: 2017-03-21
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Zolna, Walter
Howard Foster
B: 1935-01-10
D: 2017-03-21
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Foster, Howard
Robert Levan
B: 1949-08-13
D: 2017-03-18
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Levan, Robert

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100 Branchview Drive NE
PO Box 344
Concord, NC 28025
Phone: 704-786-3168
Fax: 704-782-5766

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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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