Obituaries

James Sloan
B: 1943-11-09
D: 2017-12-01
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Sloan, James
Carl Skaggs
B: 1962-01-13
D: 2017-11-25
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Skaggs, Carl
Mary Messer
B: 1941-08-08
D: 2017-11-20
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Messer, Mary
James Kazee
B: 1932-11-02
D: 2017-11-09
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Kazee, James
Clara Kitchen
B: 1933-11-05
D: 2017-11-02
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Kitchen, Clara
Capitola Hillman
B: 1933-05-17
D: 2017-10-29
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Hillman, Capitola
Bobby Mayo
B: 1931-12-30
D: 2017-10-28
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Mayo, Bobby
Martha Little-Lawson
B: 1938-12-24
D: 2017-10-26
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Little-Lawson, Martha
Bee Crisp
B: 1942-11-11
D: 2017-10-25
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Crisp, Bee
Virginia Reynolds
B: 1927-12-22
D: 2017-10-24
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Reynolds, Virginia
James Morrison
B: 1948-01-20
D: 2017-10-20
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Morrison, James
Deborah Pack
B: 1952-12-09
D: 2017-10-02
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Pack, Deborah
Nancy Claxon
B: 1953-03-05
D: 2017-09-28
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Claxon, Nancy
Joe Ward
B: 1920-10-18
D: 2017-09-26
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Ward, Joe
James Fraley
B: 1973-04-07
D: 2017-09-11
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Fraley, James
Wilma Huff
B: 1943-08-20
D: 2017-09-09
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Huff, Wilma
Howard Frazier
B: 1933-06-20
D: 2017-09-07
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Frazier, Howard
Brent King
B: 1949-11-04
D: 2017-08-28
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King, Brent
Betty Stephens
B: 1932-01-26
D: 2017-08-25
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Stephens, Betty
Betty Harris
B: 1928-04-26
D: 2017-08-20
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Harris, Betty
Ollie McDowell
B: 1924-04-28
D: 2017-08-19
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McDowell, Ollie

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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

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

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