Obituaries

Theresa Brisack
B: 1965-09-02
D: 2018-02-22
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Brisack, Theresa
Donald Holcombe
B: 1944-05-24
D: 2018-02-20
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Holcombe, Donald
Dale Martin
B: 1953-12-29
D: 2018-02-18
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Martin, Dale
Walter Watt
B: 1924-11-19
D: 2018-02-15
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Watt, Walter
Ethel Putnam
B: 1923-11-30
D: 2018-02-15
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Putnam, Ethel
James Patterson
B: 1950-10-08
D: 2018-02-11
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Patterson, James
Robert Black
B: 1964-11-06
D: 2018-02-08
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Black, Robert
Gilbert Porter
B: 1943-01-23
D: 2018-02-07
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Porter, Gilbert
Arvel Martin
B: 1939-03-08
D: 2018-02-01
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Martin, Arvel
Jay Stephens
B: 1951-01-02
D: 2018-01-30
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Stephens, Jay
Jerry Parker
B: 1941-10-05
D: 2018-01-30
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Parker, Jerry
Judy Bailey
B: 1949-05-25
D: 2018-01-29
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Bailey, Judy
Marty Ramsey
B: 1967-01-17
D: 2018-01-28
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Ramsey, Marty
Etta Smith
B: 1926-06-08
D: 2018-01-23
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Smith, Etta
Tangee Cobb
B: 1994-10-25
D: 2018-01-21
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Cobb, Tangee
Ethylene Varner
B: 1934-07-17
D: 2018-01-20
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Varner, Ethylene
George Martin
B: 1925-10-25
D: 2018-01-20
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Martin, George
Odie Pickler
B: 1931-04-17
D: 2018-01-14
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Pickler, Odie
Dorothy Burgess
B: 1930-06-11
D: 2018-01-09
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Burgess, Dorothy
Bobby Phillips
B: 1944-06-20
D: 2018-01-08
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Phillips, Bobby
Jane Teague
B: 1942-06-08
D: 2017-12-27
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Teague, Jane

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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