Obituaries

Ray Sagraves
B: 1924-05-25
D: 2017-03-22
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Sagraves, Ray
Helen Triplett
B: 1923-04-23
D: 2017-03-16
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Triplett, Helen
Paul Roberts
B: 1933-06-17
D: 2017-03-13
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Roberts, Paul
Shelly Richards
B: 1957-09-21
D: 2017-03-10
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Richards, Shelly
Franklin Glass
B: 1938-03-06
D: 2017-03-06
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Glass, Franklin
Paul Zornes
B: 1959-03-17
D: 2017-03-06
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Zornes, Paul
Danny Jackson
B: 1953-09-12
D: 2017-02-28
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Jackson, Danny
Mary Menix
B: 1936-10-01
D: 2017-02-27
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Menix, Mary
Annabelle Hall
B: 1938-07-10
D: 2017-02-27
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Hall, Annabelle
Christina Ketner
D: 2017-02-27
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Ketner, Christina
Clyde Elliott
B: 1935-09-16
D: 2017-02-24
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Elliott, Clyde
Annabelle Claxon
B: 1938-02-23
D: 2017-02-16
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Claxon, Annabelle
Talmadge Debord
B: 1924-06-01
D: 2017-02-14
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Debord, Talmadge
Kenneth Kiser
B: 1928-03-27
D: 2017-02-14
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Kiser, Kenneth
Rosalene Staggs
B: 1946-06-09
D: 2017-02-10
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Staggs, Rosalene
E. Newsome
B: 1954-08-11
D: 2017-02-07
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Newsome, E.
James Womack
B: 1924-02-06
D: 2017-02-06
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Womack, James
Glen Ison
B: 1936-10-10
D: 2017-02-06
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Ison, Glen
Syble Morris
D: 2017-02-03
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Morris, Syble
Glenna Greene
B: 1938-08-10
D: 2017-01-26
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Greene, Glenna
David Maggard
B: 1974-01-21
D: 2017-01-17
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Maggard, David

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Grayson, KY 41143
Phone: 606-474-5114
Fax: 606-474-0840

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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

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Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
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Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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